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It might be the most wonderful time of the year, but if you’re dashing through the snow to an emergency orthodontic appointment, you’re not feeling very jolly. And post-holiday, no one wants to start off their New Year’s Resolutions with “Get Cavities Filled.” How to survive the sweetest of seasons with braces and enamel intact?

Candies and sweets would normally be on the naughty list, but we’re not Scrooges! Indulging in a treat or two is part of the holiday fun, and we have some advice for how to enjoy them guilt-free. But first, some treats are definitely more naughty than nice. Which are the ones that are better as decorations than desserts?

• Candy Canes

If you’ve ever suffered a broken bracket or a chipped tooth after an innocently biting down on a much-harder-than-expected piece of candy, you know that caution is in order. That’s why we tend to savor candy canes, letting them dissolve slowly in the mouth. Of course, the drawback to this strategy is that now we’re slowly bathing our teeth in sugar, encouraging the growth of plaque and cavity-causing bacteria.

Candy canes, peppermints, and other hard candies are potentially bad for your teeth and braces when you crunch away, and definitely bad for your teeth if you let them dissolve slowly.

• Gumdrops

Glistening, colorful gumdrops. Roofing your gingerbread house, trimming a gumdrop tree, or simply sitting in a bowl, they are one of the sweetest ways to decorate for the holidays.  And when we say “sweet,” we mean that literally. Most gumdrops are basically made of corn syrup and sugar—and then rolled in more sugar.

But their sugar content isn’t the only problem. This is sugar in an extra-gummy form that sticks between our teeth and along our gums, and gets caught around brackets and wires.

• Toffees, Caramels, Taffy

They might come in lovely ribboned boxes, but these extremely sticky foods are not a gift to your teeth.

Not only do chewy candies stick to enamel, they stick to fillings, crowns (especially temporary crowns), and orthodontic wires and brackets. No one wants an unexpected trip to the dentist or orthodontist because dental work has been damaged or dislodged!

• Gingerbread Houses

Nothing says the holidays like a gingerbread house—chewy, sticky gingerbread covered with hard sugar icing, gumdrops, and peppermints. Great for your décor; not so great for your dental health. Eat one gingerbread man if you’re in a spicy mood and leave your architectural masterpiece intact.

Well, this list wasn’t very jolly. So as a little holiday gift for you, here are some suggestions to help you enjoy your desserts in the healthiest way possible.

• Be choosy.

Just like you search for the perfect presents for your family and friends, take the time to choose the perfect holiday treats for yourself. If you are wear braces, or are worried about cavities, or are just generally concerned with your oral health, stay away from sticky, hard, and excessively sugary desserts.

What can you accept from your holiday hosts with a grateful (and relieved) smile? The occasional soft chocolate should be nothing to stress about—and if you make it dark chocolate, you’ll actually get nutritional bonuses like magnesium and antioxidants. Soft cakes, cupcakes, cookies, and pies should be braces-friendly—yes, they are made with lots of sugar, but it is the holidays after all. Just be sure to follow our next suggestions to make that slice of cheesecake guilt-free.

• Eat sweets with a meal.

Saliva does more than keep our mouths from getting dry. It also helps prevent cavities by washing away food particles and neutralizing the acids from food and bacteria which damage enamel.

Eat dessert with a meal, and you benefit from increased mealtime saliva production. When you snack throughout the day, this acid-neutralizing ability is greatly reduced.

• Rinse after eating.

Rinsing your mouth with water after a meal or a snack, especially a sugary one, also helps wash away the sugars and carbs which oral bacteria convert into cavity-causing acids.

• Brush immediately. (Maybe.)

If you wear braces, you want to make sure there are no food particles stuck around your brackets and wires. If you wear aligners, you want to get rid of food particles on and around your teeth before you replace your aligners after eating.

But if you’ve eaten acidic foods like citrus or colas, the acids in the food can weaken your enamel just enough to cause some potential enamel damage if you scour your teeth immediately after eating. We often recommend waiting about 30 minutes to brush to give your enamel a chance to recover.

Since every mouth is different, especially when you wear braces, talk to Dr. Clark Knowlton for the best times and methods for holiday brushing.

You don’t want to ho-ho-hope that we can fit you in at our Sherman office for a bracket repair. Make your holiday dessert list and check it twice, and make sure you’re brushing and flossing more often if you’re indulging in seasonal treats—give yourself these two gifts, and you’ll be ringing in the New Year with a beautiful, healthy smile. Sweet!

At Knowlton Family Orthodontics,, Dr. Clark Knowlton and our staff have found that patients who like their smiles have better self-esteem. People who don’t like their smiles are often skittish about talking to other people. According to the National Women’s Health Resource Center, when women are asked about what they’d most like to change about themselves, many point to their smile. Despite wanting to change their smiles, quite a few of the people who are unhappy about that part of themselves won’t consider getting braces.

Most Americans Don’t Have Straight Teeth

The American Association of Orthodontics estimates that 4.5 million Americans wear braces or other orthodontic equipment to straighten their teeth and to get a healthier mouth. One in five of those braces wearers are women. The organization’s statistics also show that about 75 percent of the population doesn’t have straight teeth, and those people would benefit from getting braces.

While the main benefit of braces is straight teeth, and to improve the look of your smile, there are other benefits that make braces even more useful, including:

• Straighter teeth help people chew better.

• Straighter teeth give people a proper bite.

• People speak better when they have straighter teeth.

• When people have straight teeth, they have better overall gum and mouth health. A healthier mouth means flossing and brushing are easier, and that means your entire mouth stays healthy.
• A healthy mouth is also linked to a healthy body.

When you feel proud of those pearly whites, you feel better about your smile, and that contributes to a better self-image and improved self-esteem. Ultimately, that can lead to greater career success and a more fulfilling social life.

Thanksgiving marks the start to the holidays; a season filled with feasting, indulging, and spending time with family and friends are always special. Thanksgiving is a holiday meant for giving thanks, and while this may seem like such a natural celebration, the United States is only one of a handful of countries to officially celebrate with a holiday.

Unlike many holidays, Thanksgiving is a secular holiday, and it is celebrated on the fourth Thursday in November in the United States. In Canada, it is celebrated on the second Monday of October, which is, oddly enough, much closer to a time when harvests were likely gathered. In addition to the different dates, the origins of the celebration also share different roots.

Thanksgiving in the United States

Giving thanks for a bountiful harvest are not new, but the modern day holiday in the US can be traced to a celebration at Plymouth in Massachusetts in 1621. This feast of thanksgiving was inspired by a good harvest, and the tradition was simply continued on. At first, the colony at Plymouth didn't have enough food to feed everyone present, but the Native Americans helped by providing seeds and teaching them how to fish, and they soon began to be able to hold a feast worthy of the name. The tradition spread, and by the 1660s, most of New England was hosting a Thanksgiving feast in honor of the harvest.

Canadian Thanksgiving

An explorer of early Canada named Martin Frobisher is accredited for the first Canadian Thanksgiving. He survived the arduous journey from England through harsh weather conditions and rough terrain, and after his last voyage from Europe to present-day Nunavut, he held a formal ceremony to give thanks for his survival and good fortune. As time passed and more settlers arrived, a feast was added to what quickly became a yearly tradition. Another explorer, Samuel de Champlain, is linked to the first actual Thanksgiving celebration in honor of a successful harvest; settlers who arrived with him in New France celebrated the harvest with a bountiful feast.

A Modern Thanksgiving

Today, Thanksgiving is traditionally celebrated with the best of Americana. From feasts and football games to getting ready for the start of the Christmas shopping season, Thanksgiving means roasted turkey, pumpkin pie, and green bean casserole. No matter how you celebrate this momentous day, pause for a moment to give thanks for your friends, family, and all the bounties you’ve received. Happy Thanksgiving from Knowlton Family Orthodontics,!

Once you get your braces off, you want to make sure your smile remains straight! This is where retainers come in.

Once your braces come off, you’ll be fitted for a retainer provided by Dr. Clark Knowlton to keep those teeth in place. A retainer is a custom-fit device that sits in the mouth and reinforces the new position of your teeth. Wearing it may be annoying at first, but it’s an essential part of the process of keeping your teeth in place over the long term.

For the first few months after your braces are gone, Dr. Clark Knowlton will tell you to wear your custom retainers all the time, except when you’re eating, drinking, or brushing. You have the option of having a clear plastic retainer made if you’re concerned about your appearance.

Eventually, we will recommend that you only have to wear the retainer during each night for a full year. After that, you may take a couple nights off from wearing them each week. In order to preserve the position of your teeth for as long as possible, we don’t recommend that you ever fully stop wearing your retainers.

If you’re concerned about forgetting to wear your retainer, and worried that your teeth may shift, a lingual retainer could be a good option for you. This gets placed on the back of your teeth and is not readily visible.

These retainers are permanent, but they could cause issues for you down the road if you don’t maintain good oral hygiene. Plaque and tartar can build up around these lingual bars, which is why we don’t usually recommend this as a primary choice.

Wearing your retainer is extremely vital after your braces come off. Without your retainer to keep them in place, the teeth you’ve taken so long to fix may begin to shift again. Getting braces is quite an investment, which is why you should keep wearing your retainer long after the braces have come off.

If you have questions or concerns regarding your retainers, contact our Sherman office and we can address any problems you may have.

Press Pause

If you are getting braces in the near future, it’s very important to see your regular dentist first. That way, any cavities or other dental problems can be treated before your first orthodontic appointment at our Sherman office.

Play it Safe

Once you have your braces, you’ll hearing a lot about how you need to be especially careful with your dental hygiene. Why? Because wires and brackets are obstacles to getting your teeth and gum area their cleanest. Plaque and food particles tend to stick to braces, and all too often can be missed while brushing. Plaque builds up around your gum line and brackets, and, in a very short time, can lead to sensitivity, demineralization, and cavities.

What can you do to prevent tooth decay?

• Increase Your Brushing Time

Instead of brushing twice a day, start brushing for two minutes after every meal. Put together a travel bag with a small toothbrush, toothpaste, floss, and interproximal brushes to clean your teeth when you’re on the go. If you absolutely can’t brush, rinse carefully with water, and then brush as soon as you can.

• Flossing—More Important than Ever

Use the flossing tools designed just for braces to make sure you’ve removed food particles and plaque from around your braces and gums. A water flosser can be helpful if manual flossing isn’t effective.

• Keep Up with Your Regular Dental Care

Schedule regular checkups and professional cleanings at your dentist’s office. They will be able to remove plaque you might miss at home.  

• Follow Our Advice

We’ll give you instructions on how to brush and floss, what products to use, and diet suggestions (such as keeping sugary and sticky foods off the menu and away from your braces). If we notice plaque building up around your gums and brackets, we’ll let you know that you need to step up your hygiene habits. We can also suggest rinses and toothpastes that help fight plaque.

But if, despite all your efforts, you do get a cavity? There are options!

• Ignoring Your Cavity?

Not an option. You shouldn’t wait until you are out of braces to get a cavity treated. This just gives decay a chance to spread further.

• Working With Your Braces

Repairing a cavity means removing the decay in the tooth, cleaning the area, and then filling the tooth. If your cavity isn’t located near your bands, brackets, or wires, your dentist might be able to work around your braces, and you can get your cavity treated during a regular dental appointment.

• Removing Parts of Your Braces for Treatment

Sometimes a cavity is located in a spot that your dentist can’t reach because of your braces. In that case, we’re able to coordinate with your dentist and remove a wire or bracket temporarily so you can have your tooth filled. Make an appointment to replace your bracket and re-attach your wire, and you’ll be back on schedule as soon as possible.

Fast Forward

Keep your eyes on your goal--you’re in braces because you want a beautiful smile. Keeping on top of your dental health is an essential part of creating that smile. Talk to Dr. Clark Knowlton about tips for getting your teeth their cleanest. If you do develop a cavity, we’ll help you figure out the best way to treat it without causing too much delay in your orthodontic treatment. Taking care of your teeth now is the best way to create a future of beautiful smiles!

Braces are an investment in your smile. When your teeth reach a desired straightness, you’ll have a beautiful smile, but it’s important to keep it that way! You can accomplish this with a retainer provided by Knowlton Family Orthodontics,.

A retainer is a small, custom-fit device that reinforces the new position of your teeth after your braces are removed. But for many patients, especially the youngest ones, wearing a retainer may seem like an annoyance. So exactly how long after your braces come off should you wear your retainer?

Graduation of Wear Time

When we remove your braces, Dr. Clark Knowlton will evaluate the condition of the bone structure surrounding your teeth and determine how well it is adjusting to the new position of your teeth. For the first few months, we may require you to wear your retainer both day and night, except during meal times and for brushing and flossing.

As the bone and gum tissues adjust to your new smile, we may determine that you need to wear your retainer only at night. After about one year of wearing the retainer every night, you may be able to take a couple of nights off each week.

However, we do not recommend ever stopping permanently. To best secure the position of the teeth, especially through future extractions and oral health changes, wearing your retainer a few nights a week will be necessary for many years.

Considerations

If you are concerned about your appearance when you wear a retainer, there are many that can be worn discreetly. You could choose a clear plastic one that is less obvious during the months immediately following removal of your braces. When you change to night wear only, clear wire retainers are available for minimal visibility as well.

Another option is a lingual retainer. It is placed on the back sides of your teeth so no one will ever know it is there! Lingual retainers are also permanent, so there’s no risk of losing them.

Remember, wearing your retainer is an investment in your smile. If you fail to wear it consistently, the tissues that support your teeth will be unsupported, and you may begin to experience noticeable shifting. You’ve worked hard to get that beautiful smile — your retainer will let you keep it! Remember to call our Sherman office if you have any questions about your retainer!

Halloween is a time to enjoy delicious candies you might avoid the rest of the year. Youngsters who get to dress up and ask for sweet treats out trick-or-treating cherish this holiday.

If you have braces on, Dr. Clark Knowlton would like you still to have fun and celebrate Halloween this year!

It’s easy to get carried away on Halloween by eating too much candy at once. Most parents try to prevent the all-too-common sugar high their kids experience on Halloween night. While there are certain candies that should be avoided, not all candy will cause problems for kids with braces. After trick-or-treating, you could trade unsafe candies with siblings and/or friends so they don’t miss out on the sugar buzz.

Dr. Clark Knowlton and our team have come up with a list of teeth-friendly treats that should keep you from worrying about breaking your braces. We also came up with a list of candies to avoid, so as to save you a trip to our Sherman office. Remember to be extra careful when you indulge this Halloween!

Braces-Friendly Sweets

• Solid chocolate: Milk, white, or dark
• Nougat-filled candy bars: Three Musketeers
• Powdery candy: Sweet Tarts, Pixie Stix
• Mint-flavored candy
• Malted milk balls
• Soft cookies
• Peanut butter crackers

Avoid These Treats

• Sticky candy: Starbursts, toffee, Tootsie Rolls
• Hard candy: Suckers, Jolly Ranchers
• Taffy
• Caramels
• Fruit chews
• Gum
• Caramel apples
• Skittles
• M&Ms

When in doubt, ask Dr. Clark Knowlton if a particular candy is safe to eat when you have braces. We hope you enjoy your Halloween sweets, and look forward to seeing you at your next appointment! Happy Halloween!

If you’ve never been to an orthodontist before, you might be wary of what to expect during your first visit. Your dentist may have recommended an orthodontic appliance if it could improve the state of your oral health. More often, you may suspect that you or your child should have orthodontic work done if the time is right financially.

Understanding the various options your orthodontist can perform will be helpful to know before your appointment.

Your initial appointment usually lasts at least an hour. It’s common that diagnostic work will need to be done. This might include getting X-rays so Dr. Clark Knowlton can better understand the overall structure of your mouth. A quick mold of the mouth may also be taken if braces are a possibility.

Your first appointment is intended to find out how we can efficiently give you a great smile! Here’s a list of common questions you might ask during your first visit:

• Is now the right time for treatment, or should it wait?
• What is the estimated length of time for the treatment?
• How much should I expect to pay? What are the payment options?
• What can I do to prevent or minimize pain?
• Is it likely that I will wear extra appliances in addition to braces to correct my overbite, underbite, or other problems?
• Are there specific foods I will need to avoid?
• Will braces prevent me from playing my favorite sport or musical instrument?
• How can I keep my teeth clean with braces?
• How often will I be expected to come in for checkups and other appointments?

Don’t be afraid to ask these and other questions before you or your child commits to getting braces. Dr. Clark Knowlton and our team are happy to answer any of them before or after your visit.

Once you’ve had your initial consultation, our team will be here throughout the entire process if any problems arise. We look forward to seeing you at your first appointment in our Sherman office!

Some myths never wear out their welcome. If the Tooth Fairy helps your child transition from baby teeth to adult teeth, more power to her! On the other hand, some myths we can do without. Here are five common misconceptions about orthodontics, and the reality behind the myth.

• It’s Only Cosmetic

If you think orthodontists can make a crooked smile straight, you’re right! Creating a beautifully aligned smile is one of our specialties. And if your primary interest is in a straight, even smile for you or your child, that’s a good thing. You can’t underestimate the confidence a beautiful smile brings. But please don’t think that’s all we do. In orthodontics, aesthetics and function work together. An essential part of an orthodontist’s work is diagnosing and treating malocclusions, or bad bites. The correct alignment of teeth and jaw is what makes a beautiful smile a healthy one as well.

• I Don’t Need an Orthodontist for Orthodontic Treatment

All dentists receive comprehensive training and experience in order to earn their dental degrees. But did you know orthodontists like Dr. Clark Knowlton receive two to three years of additional formal training, concentrating specifically in the field of orthodontics? An orthodontist is a specialist, and diagnoses and treats problems with tooth alignment while taking into account dental, jaw and facial development. That is why an orthodontic specialist is best qualified to create a unique, custom-tailored treatment plan for each patient in order to achieve a beautiful, balanced, and healthy smile.

• My Child is Too Young for Orthodontic Treatment

We actually recommend that every child see an orthodontist for an evaluation by the age of seven. It’s important to be aware of any potential orthodontic problems that might affect your child’s later years, but we can also treat problems even before braces are on the horizon. If your child’s mouth is very small, we may recommend gently enlarging the upper dental arch with the use of a palatal expander to accommodate adult teeth as they erupt. If a baby tooth is lost too soon, we can provide a space maintainer so your child’s permanent tooth can erupt in the right place. We can even treat bite problems before all the adult teeth arrive. A visit when your child is young might help prevent the need for more complicated treatment in the future.

• I’m Too Old for Orthodontic Treatment

You’re really not. As long as your teeth and gums are healthy, orthodontic treatment is a great way to keep them healthy. Crowded teeth and malocclusions can lead to problems like worn or cracked enamel, headaches, jaw problems, increased tooth decay, and periodontal disease, to name but a few. And today’s orthodontics offer a much wider variety of treatment options than the metal gear you remember from your high school days. Which leads us to our last myth of the day:

• Those Metal Braces Aren’t for Me

In that case, it’s a good thing we have many other options to offer. Ceramic brackets and clear elastic ligatures make traditional braces much less visible. Lingual braces use brackets and wires placed behind the teeth, which are almost impossible to detect. And clear aligners allow you to subtly reposition your teeth with each new aligner tray—and are removable if need be. In fact, even those metal braces you might remember from your own high school days have gotten smaller and sleeker. Talk to us about the many discreet options available for older and younger patients.

If you are interested in what orthodontics might do for you, give our Sherman office a call! We are here to help you discover what’s possible and then to design the best possible treatment plan in order to achieve it.  Let’s make your beautiful, healthy smile a reality!

What does the month of October mean to you? For people in the northern hemisphere, October is when the weather starts to get a little chilly: heavy jackets might come out of storage and the summer clothing gets packed away. You might start making plans for the upcoming holidays or looking at the beautiful and changing autumn scenery. October means something a little different to our team at Knowlton Family Orthodontics, because this is National Orthodontic Health Month. During October, orthodontic clinics all over the country work together to promote their services and inform the community about the important work we do.

National Orthodontic Health Month is an awareness campaign created cooperatively by orthodontists and other dental health professionals. During this month, we make a special effort to promote dental health and orthodontic health in particular. This is a great time to get your questions answered by dental professionals in your community and to learn more about exactly what an orthodontist can do for you and your family. Events held in connection with National Orthodontic Health Month are also an opportunity for us orthodontists to come out and meet community members. If you have never been to an orthodontist before, you might not know what to expect. Meeting one of us in person before your checkup is a great way to find out what kind of person you’ll be seeing during your appointment.

Meeting Dr. Clark Knowlton in a relaxed “meet and greet” atmosphere can be especially helpful for any young orthodontic patients in your family. Kids of all ages–and their parents!–can feel anxiety about going to the dentist. Getting to know the person you have an appointment with can make the experience a lot less stressful for everyone. We don't want anyone to avoid seeing a dental professional for regular checkups just because they don't know who we are. Just meeting and talking with the orthodontist you'll be seeing may be enough to make you feel more comfortable about your upcoming appointment.

Dental health is something that affects everyone; healthy teeth and gums contribute to a healthy smile and a lifetime of comfort and well-being. Orthodontists are just one of the various dental practitioners you could visit at some point in your life, so taking a little time to learn who we are and what we do is certain to be a helpful experience. We look forward to seeing you and your family this October at our Sherman location!

Brace-ism: believe it or not, it’s a concept. The Urban Dictionary defines brace-ism as “acting mean to people who have braces on their teeth.” Phrases like metal mouth, brace face, and train tracks are common jokes uttered by gap-toothed fools who like to make fun of people with braces.

While ignoring these comments and taking the high road is the best thing to do, there’s nothing wrong with having a few clever retorts and quick-witted comebacks up your sleeve.

1. The next time someone calls you train tracks, break into an obnoxious train imitation, with lots of toot-toot and chuga-chuga-chuga. Finish off your crazy locomotive impersonation with some sort of deafening train horn. That’ll keep the bullies at bay.
2. “It’s better to be a brace face than a space case.”
3. Counter with a ridiculously childish joke that makes the schoolyard tormentor feel even smaller than he already is. “Oh. Yeah. Why did the deer need braces? Because he had buck teeth. Hahaha.” Top it off with an exaggerated eye roll.
4. “Yeah, my brother tells that joke. He’s six. You guys should hang out.” That’ll stop the haters dead in their tracks. Or would that be train tracks?
5. Here’s one from the sarcasm grab bag. “Well, I’m just glad there’s a way to fix what’s wrong with my face.”
6. “I can’t wait to discuss this formative moment at our ten-year class reunion, when my teeth are razor-straight and you’re wearing adult braces.”

You waited for this movie all year. You got your tickets early, and you’ve got the best seats in the theater. Whether you paid to see the latest action flick or the most romantic comedy in the history of romcoms, it’s not as nearly as much fun if the trip to the snack bar is a horror story. Perhaps Dr. Clark Knowlton can help!

If you’re wearing traditional braces, the usual suspects, chewy, sticky, hard, and crunchy foods, are still off limits even when the lights go down. Let’s look at some alternative casting.

• The Candy Counter

Licorice, caramels, taffy, and candy with nuts can make any film a disaster movie—and can make your next visit to our Sherman office an emergency one. Stick with soft chocolates, chocolates with creamy fillings, ice cream, and ice cream bars (without nuts or caramel, of course).

• The Soda Fountain

Sodas won’t break your braces, but they will damage your teeth, so try to brush as soon as you can or rinse with water after enjoying one of those titanic servings. And no crunching on ice! That can damage your braces.

• The Popcorn Machine

Sorry, we can’t help you here. Popcorn, with or without that tempting flood of melted butter, is off limits. The kernels can get lodged between your teeth and braces, and can be very hard to remove. They can also cause breakage to wires and brackets.

If you still crave something salty, check with us to see if soft pretzels or baked potato chips might be an option for you.

Movie treats contain a lot of starches and sugars, which stick to braces and feed cavity-causing bacteria, so it’s always best to go easy on the snacks. But you don’t have to give up the concession counter completely—just enjoy in moderation and be sure to brush thoroughly when you get home.

And if you wear clear aligners? You can remove your aligners, eat what you like, and clean your teeth carefully before replacing them. But do remember—you’re supposed to wear your aligners for a set number of hours each day. If you’re looking forward to a four-hour epic, make sure to take into account your treatment schedule.

We don’t know if your movie was worth the wait. But we do know that the results of your orthodontic treatment will be! Take care of your teeth and braces, and you’ll be on the fastest, healthiest track to an award-winning, red carpet smile.

If you’re wearing braces, then you know they are working hard to straighten your teeth. However, those hard-working braces are also preventing you from easily cleaning your teeth. It is essential that you put some extra attention into preventing tooth decay while wearing your braces. When your braces are finally removed by Dr. Clark Knowlton, you want a beautiful, white smile, not decayed or stained teeth. Here, we’ve listed the five best ways to ensure you have the smile you’ve always dreamed of once your braces are gone.

Use a Special Toothbrush

A regular toothbrush just doesn’t cut it when you are wearing braces. You also need to use an interdental toothbrush so that you can effectively clean behind the braces. This type of brush has bristles that are shaped like a Christmas tree that can remove food residue in the braces and on the teeth. We also recommend using a WaterPik, with its highly pressurized pulsating water, to help get all of those hard-to-reach places.

Brush after Every Meal

Since braces block food from naturally escaping your teeth after eating, it’s important that you take the time to brush and floss after every meal. The less time food has to sit on your teeth, the less likely it is to cause decay. This may seem like an inconvenience, but trust us, when you get your braces off, you will be very glad you brushed after every meal.

Don't Forget the Mouth Rinse

Even after properly brushing and flossing, there are probably some food particles in your braces. A fluoride mouth rinse is the best way to ensure that every bit of food is removed after meals. If you do not have a mouth rinse available, we suggest using water — it’s better than nothing.

Avoid Sweets

Prevention is definitely the best medicine when it comes to avoiding tooth decay. If you can nix decay-causing sugary foods from the outset, we promise you’ll spend less time trying to treat problems in the future.

Get Regular Checkups

Visit your dentist regularly while you are wearing braces. Our office recommends a thorough cleaning every three to six months. Let our Sherman office know if you have questions about your oral health while in braces - our entire team at Knowlton Family Orthodontics, is here to make sure your teeth are as beautifully straight as they are healthy!

Going back to school is already an exciting (and sometimes nerve-racking) time so we don't want your braces adding to that. Our Sherman team has compiled some helpful tips to make the process as easy and fun as possible.

1. Make sure you pack or purchase braces-friendly lunches

Try to avoid overly crunchy foods (think carrots, celery, hard crackers) especially if your teeth are sore from having your braces tightened. But you shouldn't stop eating healthful foods that fall in this category. For instance apples can be sliced into wedges or carrots can be cut into coins.

You should also avoid sticky foods like candy or gum that can and will stick in your braces like glue! Softer foods are easier on your teeth and braces, so aim to make a good portion of your lunch on the softer side.

2. Have a braces kit in your backpack or locker

Having some useful items on hand at school when you need them is one of the most helpful things you can do. Pack some wax for sores or tenderness, floss and/or flossing tools made for braces, a toothbrush and toothpaste, a small cup for rinsing, a small mirror to check for trapped food, and some lip balm if your lips tend to chap. With these tools on hand, you'll avoid most if not all braces-related nuisances!

3. Know that you're not alone

If you're feeling self-conscious about your braces, don't. Be proud of them! There are many other people your age who have braces, and if they don't have them now, they probably will in the future. Relax and know that you're on the path to a straighter and healthier smile.

If you have any questions about making your transition into "braceshood," just ask Dr. Clark Knowlton or any member of our Sherman team! We're here to help make your braces experience (and your smile) the best it can be.

Labor Day, celebrated on the first Monday each September here in the United States, is a holiday devoted to the American working community. The purpose of the holiday is honoring the country's workers and their contributions to the strength of our country as a whole.

How Labor Day Started

There is actually some debate as to the origins of Labor Day. It is uncertain whether Peter McGuire, a cofounder for the American Federation of Labor, or Matthew Maguire, who was the secretary of Central Labor Union of New York, had the great idea. However, the Central Labor Union's plans were what launched the first Labor Day in America.

The First Labor Day

The very first Labor Day was celebrated on September 5th, 1882. The Central Labor Union then held annual celebrations on September 5th for what they called a working man's holiday. By the year 1885, the Labor Day celebration had spread to many different industrial areas, and after that it began spreading to all industries in the United States.

Labor Day Today

Labor Day today is a huge United States holiday during which we honor the country's workers with a day of rest and relaxation or a day of picnics and parades. This holiday is truly one to honor the many people who work hard to contribute to the economic well-being of our great country!

Our team at Knowlton Family Orthodontics, hopes all of our patients celebrate Labor Day, and every holiday, safely and happily. Whether you stay in the Sherman area, or travel out of town, have fun, and don't forget to brush!

Nowadays, many adults are taking advantage of getting straighter teeth with braces. Dr. Clark Knowlton and our team love to help patients create the dazzling, confident smile they’ve always wanted.

Our adult patients usually fall into two categories: some had braces in the past but didn’t wear their retainers, while others are brand-new to wearing braces. Either way, both groups want the same thing: straighter teeth and a beautiful smile!

You will have several options for getting braces, depending on your financial situation and how quickly you would like your treatment to finish. Traditional metal braces are a less-expensive option and can help people who have severely crooked teeth. But many adults may not prefer this option because they dislike the appearance of metal brackets.

If you’re concerned about how you’ll look, we offer clear ceramic braces that aren’t as visible. These are more expensive than metal braces, and patients need to be careful with colored drinks that can stain them, such as coffee or red wine.

Another popular option is a clear aligner treatment called Invisalign®. This type is practically invisible; it uses a series of aligners that are customized to fit your teeth. The process of straightening your teeth can last anywhere from three to 18 months. For people who have extreme bite problems or crowded teeth, a different method may work better.

Don’t hesitate to call our Sherman office today to set up a consultation. Dr. Clark Knowlton will help you choose the best option so you can be on your way to a straighter, more confident smile!

We hear this question a lot at Knowlton Family Orthodontics,, and we don’t mind when patients who are eager to complete their orthodontic treatment ask us. After all, we know there is no better feeling than getting your braces off!

During your initial consultation with Dr. Clark Knowlton, we will map out a specific treatment for you and will try our hardest to give you a timeline of when we expect you to wrap up treatment.

Having said that, we know every patient is different. People have different biological responses to orthodontic treatment and some people’s teeth may move faster than others.

Luckily, there are things you can do to ensure your treatment wraps up in a timely manner. By following these suggestions, you can avoid any setbacks during your treatment.

• Make sure to keep your adjustment appointments. Postponing or cancelling will delay treatment!
• Be sure to show up on time to your appointments. This will give Dr. Clark Knowlton and our team time to do everything we planned during your adjustment visit.
• When prescribed, make sure you are diligent about wearing rubber bands or other appliances.
• Avoid damage to your braces and teeth by wearing a mouth guard during sports activities.
• Make sure to brush and floss regularly! Gum disease or other dental work can delay orthodontic treatment.

If you remember to follow these guidelines, you’ll be on your way to having the dazzling, healthy smile you’ve always wanted. As for us, our team at Knowlton Family Orthodontics, will do our part to move your orthodontic treatment along efficiently. If you have any questions about your treatment time, please give us a call at our Sherman office or ask us during your next visit!

Today, Dr. Clark Knowlton and our team thought we would offer a few tips for our patients currently undergoing orthodontic treatment. For those of you wearing braces, it’s important to be even more dedicated to good oral hygiene than those not currently in treatment.

After getting your braces, it is important to know how to take care of your teeth in order to ensure that your braces stay intact and do their job so that your teeth are in top-notch condition after you complete your orthodontic treatment.

Braces are known to trap food, which contributes to plaque formation. If it is not carefully removed from the teeth and gums, plaque will develop into decay or gum disease, leading to costly delays during your treatment. It is important to practice good oral hygiene by following instructions from Dr. Clark Knowlton during your treatment.

We are proud to offer supplies to help fight plaque, such as a proxabrush, dental floss, and floss threaders. The use of an electric toothbrush and or a water pick can also be helpful in combating cavities and decay. And, of course, our team at Knowlton Family Orthodontics, suggests brushing at least twice a day.

We hope that helps! If you have any questions, please give us a call at our Sherman office or ask us during your next adjustment appointment!

If you’re heading back to classes in the next few weeks, you’re probably getting your gear together now. So let’s talk about some of the items you can pack to make orthodontic care easier during school hours.

• Dental-Healthy Food

Watching what foods you eat is especially important now. If you’re carrying your lunch or snacks in your pack, you want to be sure that they’re approved for braces and aligners.

If you wear braces, avoid foods which are sticky, chewy, or crunchy. They can stick to your teeth (making it easier for cavities to develop) or cause damage to your brackets and wires (making repairs necessary). Your orthodontist will give you a list of braces-friendly foods.

If you have clear aligners, even though you’ll remove them to eat, that sticky rule still applies. You don’t want food trapped in your aligners if you can’t brush right after eating, because that food is also food for the oral bacteria which cause cavities.

Bringing a water bottle with you is a great idea if it’s hard to brush after eating. Rinsing with water is a good way to get rid of loose food particles, and staying hydrated helps maintain normal saliva production—which also helps wash away food debris.

• Toothbrush, Toothpaste, and Floss

It’s best to clean your teeth after every snack and meal if at all possible. A travel-sized brush, toothpaste, and dental floss or picks designed for braces will help you get rid of any unwanted dental leftovers. And a small mirror can help you discover any lingering food particles.

It’s especially important now to practice careful hygiene, so be sure to wash your hands before and after cleaning your teeth or appliances.

• Your Aligner or Retainer Case

Whenever you take off your retainer or aligners to eat, you should always have your case handy. Cases make sure your appliances stay off germy desk and table surfaces—or worse, floors—and protect them from breakage. A case is also a good way to make sure your retainer doesn’t accidentally end up in a trash bin after lunch.

Again, before and after you handle your braces, aligners, or retainer, be sure to wash your hands carefully.

• Dental Wax & Extra Bands

Sometimes a wire comes loose or a bracket irritates the inside of your cheeks or mouth. In this case, dental wax is a great way to protect yourself from irritation and injury. And if a band is lost or breaks, it’s always good to have a spare (or two) handy. As always, handwashing rules apply!

• Your Mouth Guard

If your afterschool activities involve contact sports, a mouthguard is always a good idea, and especially when you wear braces. Dr. Clark Knowlton can create a custom guard which will protect your teeth, your delicate mouth tissue, and your braces from many impact injuries.

• Your Orthodontist’s Phone Number

One important item that takes up almost no space in your backpack, locker, or phone is the phone number for our Sherman office. If your braces are damaged, or if your aligner or retainer is lost or broken, we will let you know what to do until you can safely visit the office in person.

Talk to our team about how to care for your braces or aligners while you’re at school, and talk to your school about how you can manage your dental care safely during school hours.

Many people undergo orthodontic treatment during childhood, adolescence, and even into adulthood. Wearing orthodontic appliances like braces is sure to produce a beautiful smile. Though orthodontic treatments at Knowlton Family Orthodontics, are designed to accommodate your lifestyle, chances are you will need to make some dietary modifications to prevent damage to your braces and prolong orthodontic treatment.

The First Few Days with Braces

The first few days wearing braces may be the most restrictive. During this time, the adhesive is still curing, which means you will need to consume only soft foods. This probably will not be a problem, however, as your teeth may be tender or sensitive while adjusting to the appliances.

Orthodontic Dietary Restrictions

You can eat most foods normally the way you did without braces. However, some foods can damage orthodontic appliances or cause them to come loose. Examples of foods you will need to avoid include:

• Chewy foods like taffy, chewing gum, beef jerky, and bagels
• Hard foods like peanuts, ice chips, and hard candy
• Crunchy foods like chips, apples, and carrots

How to Continue to Eat the Foods You Love Most

Keep in mind that you may still be able to enjoy some of the foods you love by making certain modifications to the way you eat them. For example, steaming or roasting carrots makes them softer and easier to consume with braces. Similarly, you can remove corn from the cob, or cut up produce like apples and pears to avoid biting into them. Other tips include grinding nuts into your yogurt or dipping hard cookies into milk to soften them. If you must eat hard candies, simply suck on them instead of biting into them.

If you have any question whether a food is safe to eat during your treatment with Knowlton Family Orthodontics,, we encourage you to err on the side of caution. Of course, you can always contact our Sherman office with any questions you have about your diet and the foods that should be avoided during treatment. By following our dietary instructions and protecting your orthodontic appliances from damage, you will be back to chewing gum in no time.

One of the most common reasons for getting braces is because there’s just not enough room for all your teeth to fit next to each other evenly. The result is overlapping and crooked teeth. What’s the first step in creating the space you need? Well, that depends on just how much room you need to align your teeth and bite properly.

When there is going to be a serious need for space, there are orthodontic solutions that can help, including palatal expanders, surgical options, and extractions. But if you only need a tiny bit of room so that regular braces will fit properly, we have a tiny solution—orthodontic spacers!

Why do you need to make space before you get braces? Because Dr. Clark Knowlton might need to make some room around crowded molars so your braces can be installed properly.

For example, you might need orthodontic bands to anchor your braces. An orthodontic band is a slim, custom-fitted ring of metal which fits snugly around a molar. It is durable, provides a place to attach bands and springs to help correct malocclusions (bite problems), and can securely surround a tooth that might be weak because of a large filling. Spacers can separate crowded teeth just enough to allow a band to be fitted around a molar.

Even if you don’t need bands, sometimes separators are necessary to provide enough space between the teeth for your braces to work effectively. The back teeth tend to move even closer together with braces, and, without adequate space, bite problems, risk of decay, and other difficulties can arise.

And while you might think that some serious equipment is in order to make room between those sturdy molars, the typical spacer, or separator, is actually extremely simple--usually a tiny, round elastic band, often made of rubber. Spacers can be placed between tight teeth in a matter of minutes. Each ring is stretched and positioned between your teeth with a special tool. As it returns to its original shape, the spacer’s width provides just enough pressure on the teeth it touches to make a bit of space between them. And a bit of space is usually all you’ll need.

What do spacers feel like? For some people, they can be uncomfortable. You might feel soreness, some pressure, or as though a piece of food is stuck between your teeth. Ask us for suggestions on making you more comfortable, whether it’s dining on ice cream and cold drinks, eating soft foods, or taking over-the-counter pain relief. Separators are only designed to be in place for a very short period (usually under two weeks), but if they are causing you pain, give us a call.

What do you need to do to help the process along? Actually, it’s more what you need not to do. Don’t use dental picks or floss on your separators, avoid chewing gum, and take chewy and sticky foods off the menu. And don’t be tempted to touch or play with your spacers!

Spacers can create space between the teeth so quickly and efficiently that they often fall out on their own after a few days. If your separators fall out, give our Sherman office a call. It could mean that you are ready for your braces, and on the way to a lifetime of healthy, beautiful smiles. And it’s a journey that begins with a tiny, springy step.

Teeth erupt crookedly for a number of reasons that range from genetics to mouth deformities and serious oral diseases. When extra teeth or abnormally large teeth create a malocclusion (crookedness or misplacement of teeth), the culprit is usually genetic in nature. Other inherited traits involve jaws that are too small to accommodate a full set of teeth and misaligned jaws that did not form properly in the womb.

Can crooked teeth be prevented?

In most cases, underbites, overbites, and crooked teeth are genetically derived and can’t be avoided. Orthodontic treatment with braces will be necessary to correct the condition once the child is old enough to wear them. However, certain early childhood behaviors may also contribute to the development of crooked teeth that can be avoided. These include:

• Thumb sucking and tongue thrusting
• Losing baby teeth to decay before permanent teeth have naturally pushed them out of their sockets
• Allowing pacifier use to continue after front teeth have erupted

Permanent teeth underneath baby teeth are directly affected by the health of baby teeth. If baby teeth are prematurely lost due to decay or trauma, permanent teeth will shift when they start moving upward. Baby teeth are like anchors for permanent teeth that help guide them as they erupt through the gums.

In addition, excellent care of baby teeth is vital to having healthy permanent teeth free of discoloration or decay. Harmful oral bacteria can spread into the gums and reach permanent teeth still buried in the gums. Once attached to a tooth’s enamel, bacteria will begin eroding the tooth even before it has a chance to take its first bite!

When to Start Orthodontic Treatment for Crooked Teeth

Dr. Clark Knowlton and our staff suggest that parents bring your child to Knowlton Family Orthodontics, around age seven to rule out potential issues with permanent teeth eruption. If problems are discovered, it is not unusual to begin orthodontic treatment at that age. In fact, specific conditions such as crowding and gaps between teeth are easier to correct at an early age.

Early treatment also benefits from the growth process of the jaw, which helps move teeth to normal positions.

We’ve heard all the reasons why folks put off scheduling an orthodontic consultation: not quite ready to begin treatment, vacations, busy schedules, financial concerns, etc.

Here are five reasons why you shouldn’t delay another day to make an appointment for yourself or your child with Dr. Clark Knowlton.

1. Growth – there is a window of opportunity during growth when an orthopedic appliance can change the direction of jaw growth and dramatically improve your child’s case. Once this time has passed, the correction becomes harder and may involve extraction of teeth or even worse, a surgical procedure to properly align the jaws.

2. Scheduling – Summertime is the perfect time to begin orthodontic treatment, because your child doesn’t have to miss school, especially for those longer appointments needed at the start of treatment.

3. Early Diagnosis – Many times, early interceptive treatment at Knowlton Family Orthodontics, can dramatically improve the alignment of your child’s teeth and jaws. If baby teeth need to be extracted in order to allow the permanent teeth to erupt, timing is everything. The American Association of Orthodontists recommends that children receive an orthodontic consultation as early as age seven.

4. Financial Concerns – We offer several flexible payment plans which can be extended over your or your child’s treatment time.

5. A Lifetime of Smiles – Why wait when you can enjoy the many benefits of a beautiful and functional smile now. The sooner you get started the sooner you will be showing everyone your world-class smile.

Give us a call at our convenient Sherman office to book your initial consulation with Dr. Clark Knowlton.

Happy Independence Day from Dr. Clark Knowlton and team! The Fourth of July celebrations in America may have changed a lot over the years, but there is no doubt that we Americans love to celebrate the anniversary of our country's independence! Today we're devoting the Knowlton Family Orthodontics, blog to some fun facts about the Fourth!

• My, how we have grown! This year the United States Census Bureau estimates that our country has 313.9 million residents celebrating the Fourth of July this year, but back in 1776 there were just 2.5 million members of the country.
• Our country loves to show how proud that we are of our independence. Did you know that there are 31 United States places with the word “Liberty” in their names? The state of Iowa actually has four towns with the word Liberty in the name: Libertyville, New Liberty, North Liberty, and West Liberty.
• The United States loves Fourth of July food! It is expected that around 150 million hot dogs are eaten on the Fourth each year. One of the Fourth's most popular sides, potato salad, goes just perfectly with the hotdogs and hamburgers that are standard Fourth of July fare. Some people choose potato chips instead, but we wouldn't have such a plethora of potatoes if not for the prodigious production of the states of Idaho and Washington -- they provide about half of all the potatoes in the United States today!
• Americans love celebrating the Fourth outdoors: About 74 million Americans fire up their BBQ grill every Fourth of July.
• The Chinese contribution: Did you know that Americans have spent more than $211 million on fireworks that were imported from China?

No matter how your family chooses to celebrate the Fourth, stay safe, take precautions, and don't forget to brush after your fabulous Fourth feast!

If you play a contact sport, you know about mouthguards. You know about the cushioning protection they provide for your teeth. And not just your teeth—mouthguards also help protect your lips, tongue, and jaw, helping you avoid or minimize many of the injuries caused by collisions.

But you don’t have to be part of the defensive line or face off on center ice to wear a mouthguard. It pays to be proactive with your oral health in any activity where impact is a possibility. Whether you play a team sport, practice gymnastics, ride a bike, ski, skateboard, or participate in other athletic pastimes, there’s almost always the risk of impact—with a ball, with the mat, with the sidewalk, with another person.

So, how do mouthguards protect your teeth and mouth? It’s a combination of materials and design. Mouthguards are made of a strong, cushioning material such as plastic or silicone which helps absorb and distribute the force of impact, usually in the form of a horseshoe-shaped piece which fits over your upper teeth. The specific design can be tailored to the sport or activity you’ll be using it for.

And now that you’re wearing braces? Working toward an attractive, healthy smile doesn’t mean you can’t be active or find a mouthguard which will work for you. In fact, when you wear braces, mouthguards do double duty—they protect your mouth and teeth, and they protect your braces, too!

Even minor impacts can damage wires and brackets, and damaged braces means more time at the orthodontist and lost treatment time. More important, your guard not only helps protect your brackets and wires from impact injury, it protects your delicate mouth tissue from trauma caused by impact with your brackets and wires.

Because you probably have braces on both upper and lower teeth, the usual mouthguard design might not work for you. To make sure you’re completely protected, you may need a guard which covers both upper and lower arches.

There are over-the-counter mouth guards designed for braces, and even for covering both your upper and lower teeth. These might be one-size-fits-all or fit-it-yourself guards, or models which should be used only after a fitting at our Sherman orthodontic office. While some of these guards are better than others, the best option for your teeth—and your braces—might be a custom mouthguard.

What are the benefits of a custom guard for orthodontic patients? They:

• Provide a perfect fit around teeth and braces
• Protect better because they fit better
• Are designed for easy breathing and speaking
• Are less bulky
• Are more durable
• Fit more comfortably
• Can accommodate orthodontic adjustments
• Can be tailored to your specific sport or activity.

Custom mouthguards are more expensive, because they are individually crafted for your teeth and braces, but in terms of effectiveness, they are the best guards out there—because they are individually crafted for your teeth and braces. If cost is an issue, Dr. Clark Knowlton can let you know whether an over-the-counter option might work for you.

An active life should mean proactive dental care. Wearing a mouthguard when you’re wearing braces protects both your body and your orthodontics. Whichever guard option you choose, it’s a good idea to check out the fit with Dr. Clark Knowlton to make sure you’re getting all the protection you need for both when your mouthguard is doing double duty.

If you’ve visited Knowlton Family Orthodontics,, then there’s a good chance you’re looking to perfect your smile by straightening your teeth with braces. At some point during your treatment, you may need to use elastics, otherwise known as rubber bands, for a certain period. These are used to apply additional pressure that will move your teeth in the right direction.

Placement of the elastics is specific to each patient’s teeth. These small rubber bands stretch over the tiny loops on both the top and bottom brackets. At first, Dr. Clark Knowlton may recommend you wear the elastics both day and night for an extended time.

You may be told to switch only to nighttime wear once the teeth are set in the correct position. By consistently wearing the elastics, you can shorten the overall time your braces will have to be on.

The elastics are made from medical-grade latex. If you have an allergy to latex, make sure to let Dr. Clark Knowlton know, so you can be given an alternate material. We will show you how to take elastics on and off when they’re given to you at your appointment.

You should remove them when you eat so they don’t become overstretched or break. It’s important not to overstretch the bands, and always to replace them if they break. Eventually it will become a familiar habit to carry the bands around with you for times when this might happen.

The Do’s and the Don’ts

• DO … always wash your hands before removing or replacing the rubber bands.
• DO … call us if you run out of elastics.
• DO … get in the habit of carrying around extra rubber bands as replacements.
• DON’T … double up on elastics because this can exert too much pressure on your teeth and could actually harm the roots.
• DON’T … overstretch the rubber bands or they will lose strength and become ineffective.

If you were recently given elastics as well as your braces, feel free to ask any questions during your appointment, or call our Sherman office any time. Using elastics correctly is one more step in your journey to a perfect smile!

“The purpose of all war is peace.” - Saint Augustine

Fire truck sirens, baton twirlers, marching bands covering patriotic tunes, colorful floats, costumes, and millions of red, white, and blue American flags being waved in the air on a beautiful day in late May, that is what Memorial Day is all about. It is a federal holiday celebrated with town parades, remembrance, and a sense of unity and community togetherness.

Our team at Knowlton Family Orthodontics, wants to take this time to wish you and your family a happy Memorial Day, as well as pause for a moment to reflect on what this holiday means and how it has changed over time. No, this is not a history lesson, but just a couple of thoughts and observances for you to take with you on your way to the next barbecue.

On the last Monday in May, America observes Memorial Day as a time to remember and celebrate the men and women who have lost their lives while serving our country in the Armed Forces. The holiday originated after the Civil War; at that time it was known as Decoration Day. While holidays like Thanksgiving, Christmas, and Easter remain the same from year to year, Memorial Day has changed over time, and in the 21st century we observe a far different holiday than what Americans did after the Civil War, or even the World Wars.

While many people place flags at cemeteries and visit national memorials in order to honor those who have passed away serving the country, Memorial Day is also a time for family barbecues, pool parties, trips to the beach, blockbuster movies, long weekend getaways, and fireworks. In America, Memorial Day has come to represent the unofficial start of the summer – a long, sunny, warm weekend devoted to family togetherness, outdoor events, and community.

It is time to load up the potato salad and the apple pie and head over to the neighbor’s house for their annual barbecue. And yes, contrary to popular belief, we do eat sweets, especially homemade apple pie! Everything in moderation, of course.

So whether you’re in the Sherman area or beyond, Happy Memorial Day to you and yours from Dr. Clark Knowlton!

So you’re about to get braces. Congratulations! You are taking a very smart step to improve the health of your teeth as well as get that killer smile in shape. But, as with anything that is good for you, there are a few things you will have to avoid while you “do your time.”

Some foods don’t do so great with braces. The foods listed below should be avoided while you are wearing your braces because they can pop the brackets and bend the wires. In other words, these foods can really ruin your day, and send you back to Knowlton Family Orthodontics, to get your braces repaired.

So before you hit the chair, hit the grocery and candy store – one last time – for:

• Beef jerky
• Raw carrots
• Taffy
• Pizza crust
• Bagels and other crusty bread
• Popcorn
• Hard candy
• Nuts and seeds

Dr. Clark Knowlton and our staff will give you more information about eating with braces. Some foods, such as apples, are okay as long as you cut them in pieces first. Others, like pudding and pasta, are fine just as they are. But then there is “the list”: the foods that are a big no-no and should be avoided. It won’t be forever, so hang in there.

Your braces time will pass before you know it and you can resume more normal eating. But before the braces go on, enjoy these tasty treats. Go ahead and indulge!

When a child is born, he or she will have 20 primary teeth and 32 permanent teeth. But sometimes kids are born with additional teeth, and our team at Knowlton Family Orthodontics, calls this oral condition "hyperdontia." Primary teeth are the first set of teeth that erupt in your child's mouth, typically by the time they are 36 months old, and are shed by the time your child reaches the age of 12. Permanent teeth then take the place of the primary teeth and are usually fully-erupted by the time your son or daughter reaches 21 years of age. Anyone who develops more than 20 primary teeth or more than 32 permanent teeth has hyperdontia, and the additional teeth are referred to as supernumerary teeth.

While the cause of hyperdontia is not entirely clear, it is believed that there may be a genetic factor. Oral professionals have found that patients with extra teeth often have syndromes like cleidocranial dysplasia, Ehler-Danlos syndrome, Gardner syndrome, or cleft lip and palate. The prevalence of hyperdontia affects between one and four percent of the population in the United States, and the majority of cases are limited to a single tooth.

So, what is the best way to deal with hyperdontia? It really depends on the case. The treatment plan your doctor suggests varies according to the potential problem posed by the supernumerary teeth, as well as their type. Orthodontic treatment may certainly may help, but extraction can also be a good option. We recommend that children receive an oral evaluation or checkup no later than the age of seven. In addition to hygiene evaluation, this helps ensure your child does not experience hyperdontia problems.

If you suspect you or your child may be suffering from hyperdontia, please give us a call to schedule an appointment at our convenient Sherman office to be evaluated.

The merry month of May also happens to be National Fitness and Sports Month, so take advantage of the warmer days to get outside and exercise! Bringing a friend, family member, or coworker with you when you go for a brisk walk during a lunch break can provide an opportunity to socialize as well as health benefits. If you need a little more motivation, here are some good reasons to stay active and fit.

Exercise provides:

• Improved stamina and energy as well as toned muscles and bone strength and density
• Improved circulation and breathing for a healthier heart and lungs
• Reduced risk for Type 2 diabetes and certain forms of cancer
• For older adults, regular exercise may help improve balance and reduce the risk of falls as well as improved cognitive abilities

Children and Teens

Children and teenagers spend long hours at their desks in school, on the computer, watching television, and involved in other sedentary activities that result in obesity and poor health later in life. Getting them engaged in school or community sports teams can help them form good life-long exercise habits. One important note: If they are participating in contact sports, Dr. Clark Knowlton and our team at Knowlton Family Orthodontics, recommend your kids wear an approved mouthguard to protect those valuable teeth from injury! Ask us for a proper fitting of your safety appliance during your next visit!

A gym membership is nice but not necessary to stay fit; try these easy ways to work some exercise into your daily routine.

At Home

• Take a friend along for company on a walk through your neighborhood.
• Pursue gardening or other yard work, including mowing or raking.
• Take your kids on a bike ride or have them push a baby stroller around the block.

Couch potatoes take note: simply moving from the sofa to the floor for some sit-ups, leg-lifts, or push-ups while you’re watching television can help you get in better shape in no time.

At Work

• Take the stairs instead of the elevator.
• Take exercise breaks for walks around the building or parking lot.
• Walk or ride a bike to work.

So what are you waiting for? Get moving!

For more information on exercise techniques, or to schedule an appointment with Dr. Clark Knowlton, please give us a call at our convenient Sherman office!

Kids can be picky eaters. How many times have you seen your child try to hide the peas under a mound of mashed potatoes?

At Knowlton Family Orthodontics,, Dr. Clark Knowlton and our team understand how hard it can be to get your child to eat the recommended daily allowance of fruits and vegetables. The task of providing fun, nutritious meals becomes even more challenging if he or she wears braces. It's an age-old saying that breakfast is the most important meal of the day. These five braces-friendly recipes are not only nutritious, but they will have little Jimmy flashing his “tin grin” when he sits down at the kitchen table in the morning.

1. Scrambled eggs are soft and easy to eat if you have braces. If you drown them in ketchup (which many kids love to do), eggs become even mushier. Minimal chewing is required, and that’s the key to a braces-friendly recipe.
2. A healthy breakfast provides energy and jump-starts metabolism. A smoothie is not only a good source of fruit, but it’s also gentle on braces. More importantly, smoothies are fun to create. You can toss anything in the blender (bananas, mangoes, strawberries, spinach) and create a drink that’s loaded with vitamins and antioxidants.
3. If you wear braces, eating crunchy cereals or granola for breakfast is out of the question: Bite down the wrong way and you might snap the wires or dislodge the brackets. However, you can get your grains and oats by substituting oatmeal for cereal. This mushy breakfast treat has a host of health benefits.
4. Pancakes are not the healthiest breakfast choice. Still, this Sunday morning favorite is braces-friendly. The idea is to make it healthier by hiding blueberries in the pancake batter just like your child hides peas in the mashed potatoes.
5. Toast with jam is ok, but skip slathering peanut butter on the bread. If you have braces, the general rule of thumb is to steer clear of foods that are hard or chewy. These types of foods can break wires. Of course, most kids will agree that toast isn’t the most exciting breakfast recipe. Make it a Pop-Tart instead!

For more braces-friendly recipes, please give us a call at our convenient Sherman office!

The idea for Earth Day was the brainchild of Gaylord Nelson, a senator from Wisconsin. He envisioned an Earth Day that would be a kind of environmental teach-in. The first Earth Day celebration took place on April 22, 1970, and a surprising 20 million people participated on that day. Ultimately, it became the largest organized celebration in US history.

Earth Day Over the Years

Over the years, the recognition of the day, and the number of people celebrating it all over the world, turned Earth Day into an international celebration. Because it is celebrated throughout the world, it is not only the largest international environmental observation, but it is also more widely celebrated than any other environmental event in the world. Today, Earth Day is celebrated in 175 countries where over 500 million people participate in celebrations.

The Earth Day Movement

The Earth Day movement is credited with developing the idea that people should “think green”. It encouraged congress to enact laws, including one that resulted in the creation of the Environmental Protection Agency. It also inspired the passage of the Endangered Species Act.

The Five R's and Their Importance

• Reduce – Reduce by avoiding unnecessary purchases. Reduce your use of materials that wind up in landfills. Reduce the use of chemicals around your house. Reduce your use of disposable bags, plates, cups, eating utensils, and batteries.
• Reuse – Instead of using plastic bags for your groceries or purchases, bring your own reusable bags. When you go to buy coffee at Starbucks, take a travel mug so you don't have to get your coffee in a disposable paper cup. Instead of storing food in disposable refrigerator containers, buy containers that can be washed and reused. Don't use regular batteries. Whenever possible, opt for rechargeable batteries that you can reuse.
• Recycle – Most cities offer a recycling program to collect used bottles, cans, and newspapers. Recycling includes collecting recyclable materials that would otherwise be considered waste, sorting and processing recyclables into raw materials such as fibers and manufacturing raw materials into new products.
• Re-buy – Make an effort to purchase things that are made through recycling. When purchasing furniture, look for items that are made from reclaimed wood. When buying paper for kids school work, computer printer paper, holiday cards, or anything else, make a point of purchasing recycled paper products. Instead of buying clothing at full retail price, shop for second hand clothing. You will save a lot of money by doing so!
• Rethink – Rethink the way you do things so that you do them in an eco-conscious way at all times. Instead of driving to work alone, consider taking the bus or going in a carpool. Walk or ride your bike when you're only going a short distance. Plan your shopping trips and errand runs so that you can do everything on one day, and do it in a way where you can save time and gas.

Other ways to "think green" include growing your own food, composting yard waste and food scraps, or by participating in local recycling programs. Join a group like Freecycle so you can share your unneeded and unwanted possessions with people who can use them. Likewise, you'll be able to get things you need or want for free.

Earth Day teaches people that the planet belongs to everyone, so everyone is equally responsible for protecting it. Although Earth Day is an environmental celebration, our team at Knowlton Family Orthodontics, wants to remind you that you don't have to wait until then to make changes that will allow you and your family to live a greener life.

Happy Earth Day from the team at Knowlton Family Orthodontics,.

When does an underbite need surgery? The short answer is: when Dr. Clark Knowlton and our team recommend surgery as the best way to give you a healthy, functional bite. But let’s take a longer look, and see just why your doctors might come to that conclusion.

• First, what exactly is an underbite?

In a perfect bite, the upper and lower jaws align, well, perfectly. Upper teeth overlap lower teeth very slightly, upper and lower teeth meet comfortably, and jawbones and joints function smoothly. When the alignment is off, it causes a malocclusion, or “bad bite.”

When we talk about an underbite, or Class 3 malocclusion, it means that the lower jaw protrudes further than the upper jaw. This protrusion causes the bottom teeth and jaw to overlap the upper teeth and jaw.

• What causes an underbite?

Sometimes an underbite is caused by childhood behaviors while the teeth and jaw are developing, including tongue thrusting or prolonged thumb-sucking and pacifier use. (Working to stop these behaviors before they affect tooth and jaw formation is one of the many good reasons children should have regular visits with their dentists and pediatricians.)

Most underbites are genetic, however, and tend to run in families. It’s estimated that from five to ten percent of the population has some form of underbite. The lower jawbone (mandible) might be overdeveloped, the upper jawbone (maxilla) might be underdeveloped, both bones could be affected, or, sometimes, tooth size and placement might cause an underbite. These irregularities in jaw shape and size and/or tooth crowding are not something that can be prevented, and require professional treatment.

• Why? What’s the problem with an underbite?

Even a minor underbite can cause difficulties with biting and chewing. A more severe underbite can lead to speech problems, decay and loss of enamel where the teeth overlap, mouth breathing and sleep apnea, persistent jaw and temporomandibular joint pain, and self-confidence issues.

• Can’t my dentist treat my underbite?

Most probably not. A very mild underbite can be camouflaged cosmetically with veneers, but this does not address the cause of the underbite, and will not work for moderate or severe underbites.

• Can my orthodontist treat my underbite?

Dr. Clark Knowlton will create an underbite treatment plan after a detailed study of each patient’s individual dental and skeletal structure. Treatment options will vary depending on the cause of the underbite, its severity, and even the patient’s age.

Early intervention is especially important for children who show signs of an underbite. That’s why we recommend that children visit our Sherman office by the age of seven.

If an underbite is caused by tooth misalignment or crowding, braces can reposition the lower teeth. Sometimes extractions are necessary to make room for proper alignment.

If the cause is due to jaw structure, children’s bones are still forming, so treatment can actually help correct bone development. Palatal expanders, headgear, and other appliances are various methods of encouraging and guiding bone development.

But braces and appliances aren’t effective for every patient with an underbite, and especially in patients (usually those in their late teens and older) when the jawbones are already fully formed. In this case, we might suggest coordinating treatment with an oral and maxillofacial surgeon.

• What does an oral and maxillofacial surgeon do?

An oral surgeon has the training, experience, and skill to help correct an underbite by surgically reshaping and repositioning the jawbone. This corrective jaw surgery is called orthognathic surgery.

• What will happen during orthognathic surgery?

Your treatment will be tailored to your specific needs. Two of the common surgical procedures for treating an underbite involve repositioning the upper jaw to lengthen it and/or reshaping the lower jaw to shorten it.

Bone is sometimes removed or added, small bone plates or screws are sometimes used to stabilize the bone after surgery—your surgeon will let you know exactly which procedures will give you a healthy, functional bite. The surgery itself is most often performed under general anesthesia and requires a brief stay in the hospital.

• How will my orthodontist and oral surgeon coordinate my treatment?

Correcting a Class 3 malocclusion can take time. Your oral surgeon will work together with Dr. Clark Knowlton to analyze the interrelationship of teeth, bones, and joints to determine dental and skeletal problems, and will develop the best treatment plan possible to create a healthy alignment.

• So, when does an underbite need surgery?

Sometimes, a minor underbite can be corrected with braces and appliances alone. A serious underbite, however, will often require the specialized skills of both Dr. Clark Knowlton and an oral surgeon.

And, while it’s not the primary purpose of surgery, corrective jaw surgery and orthodontics can also make you happier with your appearance and boost your self-confidence. Achieving a lifetime of beautiful, comfortable, and healthy smiles—that’s the answer to your question.

It's springtime and it's again time to remind our patients at Knowlton Family Orthodontics, to protect their faces and pearly whites while out on the field playing sports. According to the National Youth Sports Safety Foundation, children, high-school athletes and adults have more than 5,000,000 teeth knocked out in sporting events annually.

If you are planning on participating in spring sports, it’s imperative to have a proper-fitting mouthguard. Mouthguards can prevent chipped or broken teeth, lip and cheek injuries, jaw fractures, mouth lacerations and even concussions.

Having a mouthguard can make the difference between losing your teeth or not, and because many of our patients who play high school sports have jaws that are still growing, last year’s mouthguard may no longer fit as it should. Dr. Clark Knowlton and our team at Knowlton Family Orthodontics, can fit you for a new guard.

To learn more about mouthguards or for general questions about your treatment at our Sherman office, please give us a call!

If you are a student of Speech or Drama, you know how important it is to be clear and articulate. You’ve worked on pronunciation and projection, and the audience in the back row can understand every word.

And now you’ve gotten braces, and, suddenly, you don’t sound quite like yourself. Why? And, more important, what can you do?

• Don’t Panic!

Many patients see no change at all in their speech after getting braces. With some orthodontic conditions or appliances, you might have problems pronouncing certain sounds, but these changes in articulation are usually quite temporary. 

• Why Are You Sounding Off?

Every consonant is formed in a precise way as tongue, lips, and teeth work together. If you have brackets and wires in the way, or just got a new retainer, or have a set of aligners, you might find that your articulation is a little off, especially for sibilant sounds such as S’s and Z’s. Luckily, we humans are a flexible bunch, and it usually takes a very short time for our tongues and mouths to adapt to orthodontic appliances and return to normal pronunciation.

If your speech is affected at first because your lips and cheeks are sore or sensitive after getting braces, take time to take care of yourself! Use wax as often as needed to cover irritating brackets and wires, eat foods that are low in salt, spice, and acids, and follow your orthodontist’s instructions for taking care of your mouth. You should start feeling better within a few days, and should be fine after a week or two. If pain or discomfort persists, call your orthodontist.

• Practice Makes Perfect

If you want to speed along the process of getting back to your normal pronunciation habits, practice! Read aloud, sing along to your favorite songs, recite lists of words with the specific sounds you want to work on. Oddly enough, to get back to your normal speech more quickly, slow down. Thinking before you speak is never a bad idea, and, in this case, thinking while you speak can help you position your tongue and mouth to verbalize tricky sounds more easily.

You don’t have to be a national debate champion or the world’s most blood-curdling Lady Macbeth to be concerned about clear speech. Talk to Dr. Clark Knowlton during your next appointment at our Sherman office if you find you are having problems with pronunciation. Whether your appliance needs an adjustment, or you need a few suggestions for speech exercises, or it’s simply a matter of time, soon you’ll be back on the road to perfect pronunciation—and on the way to your perfect smile.

Dr. Clark Knowlton and our team at Knowlton Family Orthodontics, know that for some of our patients wearing braces, it can be difficult to weave through those wires and brackets as you brush and floss during your treatment.

Some of our patients use a water pick to flush out food and other particles and bacteria stuck between their teeth as the water can reach behind the metal wires and hit spots where your floss simply cannot reach. People suffering from gum disease also find water picks quite effective because of their ability to flush out bacteria from inside the deep pockets.

Water picks are friendly to braces and are also gentle on the gums. They are less likely to cause bleeding for people with sensitive teeth or gums. But as many benefits as they may have, Dr. Clark Knowlton and our team want you to know that water picks should never be used as a substitute for flossing. Though they are great tools for helping improve oral health while you are in treatment, they are just not a good enough tool on their own to keep your mouth and gums gingivitis- and decay-free. Water picks are also incapable of removing plaque from teeth as effectively as floss can. While water picks rinse the sticky bacteria off your teeth, flossing is actually more effective as it actually scrapes the bacteria off of your pearly whites.

If you have any questions about water picks or any general questions or concerns about your orthodontic treatment, we encourage you to please ask us below or give us a call!

“St. Patrick's Day is an enchanted time -- a day to begin transforming winter's dreams into summer's magic.” Adrienne Cook

Lucky green shamrocks, leprechauns, and pots of gold – it must be St. Patrick’s Day! If you’re not Irish, how do you go about celebrating St. Patrick’s Day? It’s easy: You just put on one of those tall leprechauns hats, dress in green from head to toe, and wear one of those carefree pins that say “Kiss Me, I’m Irish”. On St. Patrick’s Day, everyone is Irish, and that is the universal beauty of the holiday. Celtic pride does not discriminate.

Wondering what our team at Knowlton Family Orthodontics, is doing to celebrate March 17th? Well, we’ve thought about doing everything from handing out lucky gold coins (you know, the fake ones that are made of chocolate) to shamrock stickers. Maybe we’ll even give away green toothbrushes and floss! You’ll never know unless you come in to see Dr. Clark Knowlton !

All kidding aside, St. Patrick’s Day is an important cultural and religious holiday. There are lavish parades and church services across Ireland on March 17th. Over time, however, the holiday has developed into a day to observe Irish culture in general. In places like England and the United States, where there is a large Irish Diaspora, the holiday has greater significance than other countries. From the streets of Boston to St. Patrick’s Cathedral in New York, it is a day of celebration, and many Americans of Irish descent will cook up a traditional meal of corned beef and cabbage.

So, to all of you with Irish ancestry, and to all of you who have decided to be Irish for the day, our office wishes you a Happy St. Patrick’s Day. Good luck looking for a pot of leprechaun gold, which is said to exist at the end of the rainbow. However, keep away from those sugary Lucky Charms; sweet cereals might taste good, but your kids’ teeth might not be feeling too lucky if they eat it for breakfast every day. Have a great St. Paddy’s Day!

Orthodontic braces are used to straighten the teeth, which not only creates a more pleasing appearance, but also helps prevent tooth decay and other oral health problems. Braces are only effective when they are properly cared for, however. Certain foods, for example, are better suited for individuals who have braces, as opposed to hard and sticky foods that can cause damage. So, what types of foods should you or your kids eat to protect dental appliances?

The best foods to eat with braces are those that are not high in sugar and do not require excessive chewing. For breakfast, try eggs, yogurt, bacon, wheat toast, or oatmeal. Lunch may steer toward a banana rather than an apple, a salad without nuts, and a glass of water. If you are looking for some after-school snacks for your kids, consider baked tortilla chips with salsa and guacamole, or try string cheese with fruit.

A healthy dinner can include most types of vegetables, so long as they are cooked to an appropriate softness. Pair that with a lean protein, such as fish or chicken, and follow up with dessert. Just be sure to brush afterward!

Post-Tightening Foods

As braces begin to adjust the alignment of the teeth, our team at Knowlton Family Orthodontics, will periodically tighten them to continue the alignment process. After tightening occurs, the teeth may be sore and sensitive to certain foods. During this time, it is best to eat soft foods. Examples include:

• Pudding
• Mashed potatoes
• Soup
• Ice cream
• Cottage cheese
• Peas
• Pancakes
• Pasta

Foods to Avoid

Anyone who wears braces – whether fixed or removable – should avoid excessive snacking and should aim to eat a healthy and balanced diet. It is also important to avoid foods that could cause damage to the braces, such as:

• Hard candies
• Gum
• Nuts
• Popcorn
• Certain raw vegetables (for example, carrots)

Considerations

Regardless of what types of foods you eat with braces, it is important to keep the crevices between the teeth and around the braces very clean. That means brushing and flossing after meals to prevent the build-up of plaque and decay. Not only can failing to do so damage the teeth, but it can also cause discoloration.

Have more questions about orthodontic treatment? The Knowlton Family Orthodontics, staff is always ready to answer all of your questions and help you get the most out of the treatment plan prescribed for you by Dr. Clark Knowlton!

While mouthwash goes a long way in improving your oral care, it is not a substitute for flossing. Mouthwashes and flossing provide different benefits that you should understand.

Mouthwash Benefits

Mouthwash comes in two categories. Some are considered cosmetic. This type of rinse provides temporary relief from bad breath and has a pleasant taste. These do not actually kill any bacteria.

Therapeutic mouthwashes provide the healthier benefits. These may contain different ingredients including fluoride or antimicrobial agents. This type is used to remove plaque buildup and reduce the potential for calculus formation. Therapeutic rinses can also help prevent cavities, bad breath, and gingivitis. In addition, Dr. Clark Knowlton can prescribe special rinses to assist patients after periodontal surgery or other procedures.

Flossing Benefits

Flossing is what removes the plaque formation before it can harden and become calculus. While a rinse reduces buildup, only flossing will fully remove plaque, especially between teeth. The bristles on a toothbrush do not get between teeth completely. If plaque is not removed, it hardens into tartar or calculus. When this builds below the gum line, gum disease can start.

Types of Floss

Floss is available in a thin string form or a tape. It can be waxed or unwaxed. If you find flossing difficult, you might want to try a different type of floss. You can buy bulk floss in containers or purchase the disposable type with a plastic handle attached. This style can be easier for many individuals to use. Interdental picks are available for bridgework or other situations where regular floss cannot be used.

If you have questions regarding the best mouthwash or floss, or need tips for easier flossing, please ask our Sherman team for advice. We will be glad to give you solutions to help keep your mouth clean and healthy.

A bright, beautiful smile is often achieved with braces. The time you spend wearing braces is an investment in the good health and appearance of your smile. However, Dr. Clark Knowlton and our staff know that having braces on your teeth can pose challenges. Many of these challenges are commonly faced by all who wear braces, such as flossing, getting food stuck in your braces, and bad breath.

Today, let’s address bad breath and what to do about it. There’s no reason you have to shy away from conversation for fear that you’ve got bad breath.

Fresh Breath Tips for Braces Wearers

• Eat a Healthy Diet. Unhealthy foods that are laden with sugar can contribute to bad breath. Stick with healthy produce, protein, grains, and dairy found on the list of foods your orthodontist says are safe to eat with braces.
• Drink Non-Sugary Beverages. Likewise, steer clear of sugary sodas and juices for the same reason. They contribute to bad breath.
• Stay Hydrated. A mouth that’s continually dry can lead to bad breath by inhibiting your production of saliva. Regular production of saliva removes bacteria and excess food from your mouth, both of which cause bad breath.
• Brush Often. Brush your teeth and tongue first thing in the morning, after each meal and snack, and before you go to bed, to remove food particles and bacteria that cause bad breath.
• Don’t Forget to Floss. Flossing with braces might seem tricky, but it is a necessity. Ask Dr. Clark Knowlton to show you the best way to floss effectively with braces.
• Mouthwash Use. Use the mouthwash recommended by Dr. Clark Knowlton. For the best results, swish the mouthwash around in your mouth for 30 seconds.
• Get Regular Cleanings. Regular dental exams and cleanings are more important when you have braces. Cavities can delay your treatment progress, so be sure to visit your dentist every six months.

Practice Good Hygiene Daily

Good oral hygiene practices are important every day, whether you wear braces or not. But they become even more important during the months you wear braces. In addition to your regular orthodontic checkups, see your general dentist for cleanings and exams.

Together, you and our Sherman team will keep your mouth healthy and fresh during and after your orthodontic treatment.

Your first few days with braces will feel rather odd, awkward, and even painful. The day you get your braces you will probably just feel weird, like you have something in your mouth – because you do. You are most likely to feel pain and soreness during the second and third days. After that, you should be fine. If you experience any pain with your braces, there are a few things you can do to get some relief.

Home Remedies

Rinsing your mouth with warm salt water will soothe it and promote healing. Rinse several times a day or when your mouth, particularly mouth sores, are hurting. You can also take some Tylenol every four hours. Dr. Clark Knowlton and our team advise against products that contain ibuprofen because it slows down the movement of your teeth.

You can also eat cold foods like ice cream or yogurt. The cold of the food will help dull the pain. Ice packs applied to your mouth help as well. You can also swish ice water around your mouth, but DO NOT eat ice!

Cool Products

Products for canker sores can be applied to the mouth sores you develop from your braces. There are also various rinses you can use that act as a shield or barrier in your mouth, and protect your mouth sores from further irritation.

Dr. Clark Knowlton and our team may have given you some dental wax to put on the abrasive areas of your braces to protect your mouth. Putting dental wax on the brackets creates a barrier that keeps your mouth from getting scraped and sore.

Bite wafers are another great pain relief too. When you bite down on the wafer, it increases circulation in your gums, which can ease the pain a bit. Just a little pressure will work; you don’t want to bite too hard. And they usually come in cool colors, too!

The pain won’t last forever. One day you will wake up and you won’t have any pain. In fact, you probably won’t even notice the braces in your mouth at all!

When we think of Valentine’s Day, we think of cards, flowers, and chocolates. We think of girlfriends celebrating being single together and couples celebrating their relationship. We think of all things pink and red taking over every pharmacy and grocery store imaginable. But what Dr. Clark Knowlton and our team would like to think of is when and how this joyous, love-filled day began.

Several martyrs’ stories are associated with the origins of Valentine’s Day. One of the most widely known suggests that Valentine was a Roman priest who went against the law at a time when marriage had been banned for young men. He continued to perform marriage ceremonies for young lovers in secret and when he was discovered, he was sentenced to death.

Another tale claims that Valentine was killed for helping Christians escape from Roman prisons. Yet another says that Valentine himself sent the first valentine when he fell in love with a girl and sent her a letter and signed it, “From your Valentine.”

Other claims suggest that it all began when Geoffrey Chaucer, an Englishman often referred to as the father of English literature, wrote a poem that was the first to connect St. Valentine to romance. From there, it evolved into a day when lovers would express their feelings for each other. Cue the flowers, sweets, and cards!

Regardless of where the holiday came from, these stories all have one thing in common: They celebrate the love we are capable of as human beings. And though that’s largely in a romantic spirit these days, it doesn’t have to be. You could celebrate love for a sister, a friend, a parent, even a pet.

We hope all our patients know how much we love them! Wishing you all a very happy Valentine’s Day from the team at Knowlton Family Orthodontics,!

You know the school day’s over when you hear these seven little words: “I’m home! Is there anything to eat?”

And before your child got braces, you had the answer: simple, tasty snacks that provided not only an energy boost, but nutritional elements to help build strong teeth and strong bodies. But now whole carrot sticks and unsliced apples are out. Nuts and crunchy peanut butter? Not in your pantry. Hard cheeses and crunchy whole grain crackers? Also off the shopping list.

Because any foods that are crunchy, chewy, or hard to bite into can damage brackets and wires, it’s time to freshen up your go-to snack list. Luckily, Dr. Clark Knowlton can recommend many healthy and braces-friendly choices when children need something to tide them over until dinner.

• Fruits and Vegetables for Vitamins and Minerals

Soft fruits like berries, melon, and bananas provide essential vitamins and minerals while going easy on your child’s braces. Make it a blended smoothie for a cool treat—you can even add a healthy handful of spinach or kale without interfering with that fruity taste. If your child still loves apples and carrots best, keep them on hand—but remember that thin slices are the only way to go.

• Dairy Delivers Calcium

Cottage cheese, string cheese, and other soft cheeses provide essential calcium and vitamin D. Yogurt in all its many flavors is another great option.

• Meats Provides Protein

Lean meats such as thinly sliced ham, chicken, or turkey provide flavor and protein, and don’t require the chewing that bologna, roast beef, and salami do. And nothing packs a protein punch like eggs—hard boiled, deviled, or diced up in egg salad.

• Grains, Legumes, and Vegetables for Complex Carbohydrates

Complex carbohydrates—the “good” carbs—are important sources of energy for our bodies. Snacks such as hummus with soft whole grain pita wedges or blended black bean dip and soft crackers are a delicious, energizing option.

You are constantly looking for ways to make your children’s lives better. Mix and match any of these foods for a snack that’s not only good for their braces, but good for their teeth and bodies! Let us know your child’s favorite snack the next time you visit our Sherman office!

Perhaps you feel your teeth are not perfectly straight, or you think your bite could be adjusted. It’s quite possible that braces and other orthodontic treatments might be the right choice for you. As orthodontic professionals, our team at Knowlton Family Orthodontics, works with your general dentist in order to determine the best options for your oral health and cosmetic appearance.

You might need braces if ...

• You lost your baby teeth relatively early in life. If your baby teeth fell out too early and your adult teeth did not come in for a while, this could have affected the way your adult teeth grew and developed.
• Your teeth look crowded or crooked. If you are embarrassed to smile because your teeth are not straight, it might be time to consider the cosmetic options available to you.
• Your jaw shifts or makes sounds. This can signify a developmental issue with your teeth and your jaw line, and orthodontic treatment may be able to help. Set up an appointment with Dr. Clark Knowlton if your jaw is recessed or protruding as well.
• You are constantly biting the sides of your cheek or hitting the roof of your mouth. This could indicate that your teeth are not properly aligned. Braces can address an underbite or an overbite.
• You have a difficult time chewing your food. This is not only an inconvenience, but it can also be detrimental for your health. Braces can help fix the alignment of your teeth.
• You have to breathe through your mouth on a regular basis. You may not attribute this to an issue with the development of your teeth or jaw, but orthodontic treatment might be able to help.

The ideal age for a child to be seen by an orthodontist is age seven. However, there are many orthodontic treatment options available to adults. It is becoming increasingly common for adults to wear braces and other orthodontic devices. We recommend that people who are interested in braces and other orthodontic treatment options set up a consultation appointment with Dr. Clark Knowlton today.

The electronic toothbrush has undergone several technological advances since the 1960s. Everything from design and bristle motions to rotation, oscillation, and sonic vibration has led to dramatic changes in this necessary tool over time.

Rotation oscillation happens when the head of the toothbrush rotates from one direction to the other. The benefit of powered toothbrushes is that they can produce 50,000 strokes per minute, compared to 300 strokes with a manual toothbrush.

When you’re thinking about brush head size, smaller brush heads are best for hard-to-reach areas and small mouths. Brush heads should be replaced every three to six months as needed. A good way to save money is to designate a brush head for each family member which can be taken on and off a shared base motor.

Having a base motor or rechargeable toothbrush can deliver enough power on a full charge for a week of brushing, which makes it convenient for travel or when life gets busy. Some toothbrushes include audible signals that let you know when to switch the area of your mouth you’re brushing or when a full two minutes has gone by.

Do you have sensitive teeth? Studies have indicated that people tend to apply more pressure on their teeth when they use a manual toothbrush. This makes an electric toothbrush a preferable option if you’re having issues with sensitive teeth or gums.

There are even electric models with pressure sensors that will stop the brush from spinning when you press too hard against your teeth!

Everyone can benefit from having an electric toothbrush. A large handle size can be taken into consideration if a member of the household is young, or has a physical disability or arthritis. They’re even recommended for children in order to maintain good oral hygiene from a young age.

Biofilm is a term used for plaque or debris that builds up in your mouth. If not properly addressed, this can cause serious bacterial infections to your gums and teeth. If you want to remove biofilm in the most efficient way, an automatic toothbrush is the way to go.

When you're ready to make your decision, make sure to consult with Dr. Clark Knowlton at our Sherman office to decide which electric toothbrush is right for you!

Time to brush! So, you make sure you gently brush the plaque off the outside surfaces of your teeth. You want to present a gleaming smile to the world, after all. And you make sure to brush the inside surfaces as well, because who wants to feel a fuzzy patch of plaque every time their tongue hits their teeth? And, naturally, you remember to clean the tops of your molars, because those crevices make them more cavity-prone than any other surface.

Done? Not quite!

You might be surprised to learn that no matter how well you’ve brushed all the visible surfaces of your teeth, you’ve left quite a bit of enamel untouched—the adjoining, or touching, surfaces of the teeth that sit next to each other.

You’ve probably noticed that your bristles can’t . . . quite . . . reach all the enamel between your teeth (especially between your molars!) when you’re brushing. This means that food particles and plaque have an easier time sticking around. And when the bacteria in plaque are left undisturbed, especially with a banquet of food particles available, they produce acids which gradually eat away at the enamel covering our teeth, creating a cavity.

Here’s where we work in some specific dental vocabulary. “Interproximal” means between the adjoining, or touching, surfaces of the teeth. And an interproximal cavity is a cavity that develops on one of those side surfaces of your teeth.

• Preventing Interproximal Cavities

Fortunately, prevention is about as basic as it can be—brushing and flossing effectively. Dentists recommend brushing for two minutes at least twice a day and flossing once each day. While most of us are good about keeping up with brushing, sometimes that daily flossing is more a goal than a reality.

But it’s flossing which really does the trick when it comes to interproximal cleaning. If you floss correctly, food particles and plaque are removed from between the teeth and around the gum line—places where bristles just can’t reach.

When you wear braces, though, flossing isn’t quite so basic. Getting that floss just where it needs to be in between brackets and wires and in between teeth can be a challenge!

The good news is there are many products designed just to make flossing easier while you’re in orthodontic treatment:

• Floss threaders are flexible hoops that help you thread floss behind your wires easily.
• Precut floss strands use a stiff tip at one end for threading floss through wires.
• Interproximal brushes are tiny, cone-shaped brushes which can fit between your teeth and braces for precise cleaning.
• Water flossers eliminate floss altogether, using a pulsing stream of water to clean between and around teeth and braces.

During your next visit to our Sherman office, Dr. Clark Knowlton can give you tips on how to use any of these tools effectively for cleaner teeth and cleaner braces.

Preventing cavities on the exterior surfaces of your teeth is probably pretty much automatic by now, but don’t forget the potential for stealth decay! If we find signs of erosion on the sides of your teeth, or if your hygienist lets you know that you’ve got a lot of interproximal plaque buildup, work with your dental team to make sure “interproximal cavity” doesn’t become a working part of your dental vocabulary.

Traditionally, January is a great time to choose some bad habits you’d like to lose, and some good habits you’d like to develop. If one of your goals this year is to help make your orthodontic treatment as efficient and successful as possible, we have the perfect resolutions for your New Year.

• Brush after every meal

If you’ve grown up brushing for two minutes twice each day and flossing regularly, you have been doing everything right! But now that you have braces or aligners, you should plan on brushing after every meal and each snack.

Food particles can stick to wires and brackets, which is nothing to smile about. Worse, plaque can be easy to miss around your braces, which can lead to enamel erosion and possible cavities. Brushing after eating is the best way to eliminate food particles and plaque from braces and enamel, but if you can’t brush, be sure to rinse well with water.

Patients with aligners benefit from brushing, too, to keep food particles and sugary or acidic beverages from remaining trapped around the teeth after the aligners are replaced. If you absolutely can’t brush, remember to rinse carefully with water after eating and drinking and before replacing your aligners.

• Watch your diet

Changes to our diets are probably one of the most common resolutions, so it’s no surprise we have recommendations for your dental diet. Dr. Clark Knowlton and our team are happy to provide you with a comprehensive list of the foods that can harm your wires and brackets, or which are especially difficult to keep from sticking to your appliance and enamel. No tempting caramels or buttery ears of corn are worth damage to your braces! Follow the guidelines for braces-friendly foods, and you’ll help keep your treatment problem-free and on track.

• Do your part

Wearing braces or aligners can require some interactive work on your part. If you are supposed to wear your aligners for 22 hours a day, be sure to follow those instructions to keep your treatment plan on schedule. If you have bands that you need to wear with your traditional braces to help correct your bite, wear them as directed. And never try to make up for lost time by doubling your bands—this can actually be harmful to your teeth.

If we can help demonstrate or explain anything you need to do at home, don’t be afraid to ask!

• Keep your retainer case handy

When you finish orthodontic treatment, you will probably have a retainer to help your teeth maintain their new, healthy alignment. Keep your retainer healthy by making sure to use your case whenever you’re not wearing it. Bent, broken, or lost retainers should be repaired or replaced as soon as possible to avoid changes in that smile you’ve worked so hard for.

• Keep your appointments

The more you stay on schedule, the faster you will achieve your ideal smile. And if you have a problem between appointments, call our Sherman office! Broken braces and aligners aren’t effective and can delay your progress, so let us know if you think you might need to see us earlier than scheduled. Finally, don’t forget your regular exams and cleanings at your dentist’s office.

Traditionally, the beginning of the year is a great time to choose some bad habits you’d like to lose, and some good habits you’d like to develop. But you needn’t wait for that New Year’s Eve countdown clock.  Adopting these orthodontic resolutions at any time of year will keep you on track for a lifetime of beautiful, healthy smiles.

Watching the clock tick down the final seconds until midnight, many of us- Knowlton Family Orthodontics, included- feel nostalgic about the passing year and hopeful about the new one to come. New Year’s Eve is one of the most widely celebrated holidays in the world, with over-the-top celebrations taking place in dozens of countries. The Gregorian calendar, which is widely used in Western nations and around the world, was implemented in 1582. Since that time, December 31st has marked the final day of the year, with midnight heralding the beginning of a brand new year. In the United States, New Year’s Day is a public holiday; government offices, schools, public organizations, and many businesses are closed for the day. Ponder the following fun facts as you think about your plans for the holiday:

• Approximately one billion people watch the New Year’s Eve ball drop in Times Square, New York City. This televised event is one of the most iconic New Year’s celebrations in the world. For many years, watching the ball drop meant tuning in to Dick Clark’s Rockin’ New Year’s Eve, an iconic television special dear to the hearts of many viewers.
• The idea for the New Year’s Eve ball came about because of a citywide ban on fireworks. Before 1907, when fireworks became illegal in New York City, celebrations included an elaborate fireworks show. The large, glittering, illuminated ball was developed as an alternative. Although the first ball was heavy at 700 pounds, the modern New Year’s Eve ball is made of Waterford crystal and tips the scale at six tons!
• The top five New Year’s resolutions are: to lose weight, quit smoking, get a new job, return to school, or increase personal savings. However, approximately 88% of New Year’s resolutions fail. But don’t let that discourage you! Resolutions are most likely to succeed when they are clear, achievable goals. Setting out a concrete plan to achieve your resolution also boosts your chances of success.
• Eating black-eyed peas on New Year’s Day is said to bring good fortune in the new year. Collard greens, cabbage, and ham hocks are also considered lucky foods to enjoy. Just steer clear of the chicken or turkey dinners; eating poultry is a bad omen for the year to come.

Whether you plan to stay in Sherman, or head out into the crowds to watch the ball drop in Times Square, New Year’s Eve is a time to enjoy friends and family. Send your loved ones well wishes for the New Year, and look for that special someone to share a midnight kiss with for good luck!

While braces play an important part in helping to create a healthy mouth and teeth, you might experience a few side effects while wearing them that are common and can be easily treated.

Even with the best of care, braces can cause soreness to your mouth. As your teeth begin to move, it is natural for your teeth to feel aches and your jaw to develop soreness.

If there are broken wires or loose bands on your braces, a sore tongue, mouth, or canker sore will occur. Canker sores are a common occurrence when braces rub inside the mouth. There are ointments available to reduce the pain and irritation associated with mouth sores. We urge those who experience a sore mouth or any of the following problems to call our office to schedule an appointment.

• Loose brackets: Apply a small amount of orthodontic wax to the bracket temporarily. You might also apply a little between the braces and the soft tissue of your mouth.
• Loose bands: These must be secured in place by your orthodontist. Try to save the band for repair.
• Protruding or broken wires: The eraser end of a pencil can be used to move the wire carefully to a less painful spot. If you are unable to move it, apply orthodontic wax to the tip. If a mouth sore develops, rinse with warm salt water or antiseptic rinse.
• Loose spacers: These will need to be repositioned and sometimes replaced.

Foods to Avoid

Some foods can also help or hurt you while you’re wearing braces. Remember to cut your food into small pieces that can be easily chewed. You will want to avoid hard and chewy foods that can break your hardware. Foods such as corn on the cob, nuts, carrots, apples, ice, and bubble gum should be avoided.

Braces, rubber bands, springs, and other mouth appliances associated with braces will normally attract food particles and plaque. Without the proper care, this could cause staining of your teeth.

Our staff at Knowlton Family Orthodontics, recommends brushing after every meal or snack and carefully removing any food that might be lodged in the braces. A fluoride mouthwash might be helpful as well as flossing. At your next appointment, Dr. Clark Knowlton can advise you how to floss with a brush specially designed for braces!

When beginning orthodontic treatment, most patients ask Dr. Clark Knowlton and our team a lot of questions about what to expect, while others choose to just "go with the flow" and leave it to us to build for them a beautiful smile. And for our team at Knowlton Family Orthodontics,, that's understandable.

But for those who do ask questions, two of the ones we frequently hear are "Will my braces hurt?" and "How long will these be on?"

We explain to our patients that despite what they've heard, braces do not hurt when they're initially put on. Yes, you will experience soreness after your braces are placed and when your teeth start to move. Too often, our patients hear horror stories about how much it hurts to get the braces on, so they tend to over-worry. The truth is, after their braces are on, almost all patients say "that's it?" because it's actually easy and painless!

At Knowlton Family Orthodontics,, we answer most of your other questions during your initial exam. When a patient visits our office for the first time, we give him or her a time estimate of how long it will take to achieve their ideal smile. All other questions are answered at the bonding appointment when the braces are placed. We cover all the topics, everything from eating to brushing with braces, but we also know that after your initial appointment, it's natural for you to have questions about your or your child's treatment. And we are always here for you; we are thorough and always try to answer any questions or concerns you may have. As a patient, that's one thing you never have to worry about. You will always know what's going on throughout your orthodontic experience.

If this is your first winter with braces, you might be wondering how to make the best of the holiday season. Dr. Clark Knowlton and our team have some suggestions for happy and healthy holiday smiles.

Treat Yourself

Winter means tasty holiday treats, and just because you wear braces doesn’t mean you need to step away from the holiday table! You can enjoy your favorites if you remember to check your list for the usual problem foods. Hard, crunchy, chewy, and sticky items? Naughty list.

• Crunchy vegetables on the appetizer plate
• Nuts
• Hard rolls
• Candy canes and other hard sugar treats
• Caramels, Toffee and other sticky candies
• Pecan pie
• Fruit cake

Luckily, there are plenty of nice alternatives.

• Turkey and ham—remember, small pieces are best
• Dressing and stuffing
• Mashed potatoes
• Soft breads and rolls
• Pumpkin pie—but skip a tough crust!
• Cheesecake
• Soft cookies and cakes
• Soft chocolates

We’re happy to provide recommendations for braces-friendly holiday foods. And we don’t expect you to turn down every sweet treat this season.  Just be sure that if you enjoy something sugary, brush carefully after indulging.

Express Yourself

While you’re decking the halls, or pinning up the New Year’s balloons and streamers, or even choosing a great holiday outfit, don't forget that your ligatures can be decorative as well as functional.

• Celebrating Christmas? Red and green bands around your brackets are jolly and traditional.
• How about Hanukkah? Try blue and white!
• Love the season? Icy silvers and pale blues are a frosty statement—and can have the benefit of making your teeth look whiter, as well. Snowy white? The arctic idea is great, but white bands can sometimes make teeth look more yellow, or become stained themselves.
• Glam New Year? Gold adds sparkle to your smile, but can bring out any yellow tones in your teeth. Silver might be the perfect choice, because it is generally neutral with enamel shades.

Check out our ligature colors for the best possible choices for your teeth and coloring. Take advantage of these options to create a fresh, confident look for the season. Give others the gift of your smile!

Look After Yourself

Winter comes with some special reminders about your dental health.

• Winter sports are a great way to celebrate the snow and ice, but be sure to protect your teeth and braces. If you enjoy skiing, snowboarding, ice skating, hockey, or any other winter activities, talk to us about why a mouth guard is so important.
• While you enjoy your winter break, don’t forget to keep up with your dental routine. And because ‘tis the season for holiday treats, be especially careful to clean your teeth and braces after sweet desserts and snacks. Don’t forget to floss!
• What do cold breezes and hot chocolate have in common? They can both trigger tooth sensitivity! While some sensitivity is normal after an adjustment, if you find you are experiencing tooth sensitivity more often or more strongly than you usually do, give us a call. It might be something as simple as brushing habits, or you might need to see your dentist.

If you have any questions about your braces, in this season or any other, just ask when you visit our Sherman office. Your beautiful, healthy, and confident smile can make this the most wonderful time of the year!

Parents usually have numerous questions about orthodontic treatment for their children. According to the American Association of Orthodontists, orthodontic treatment for children should start at around seven years of age. This allows Dr. Clark Knowlton to evaluate the child’s existing and incoming teeth to determine whether or not early treatment might be necessary.

What is early orthodontic treatment?

Early orthodontic treatment, known as Phase One, usually begins when the child is eight or nine years old. The goal is to correct bite problems such as an underbite as well as guide the jaw’s growth pattern. It also helps to make room in the mouth for the permanent teeth to be properly placed as they come in. This will greatly reduce the risk of the child needing extractions later in life due to his or her teeth getting crowded.

Does your child need early orthodontic treatment?

There are several ways that you can determine whether your child needs early treatment. If you observe any of these characteristics or behaviors, you should talk to Dr. Clark Knowlton.

• Early loss of baby teeth (before age five)
• Late loss of baby teeth (after age five or six)
• The child’s teeth do not meet properly or at all
• The child is a mouth breather
• Front teeth are crowded (you won’t see this until the child is about seven or eight)
• Protruding teeth, typically in the front
• Biting or chewing difficulties
• A speech impediment
• The child’s jaw shifts when he or she opens or closes the mouth
• The child is older than five years and still sucks a thumb

What are the benefits of seeking orthodontic treatment early?

Early orthodontic treatment is begun while the child’s jaw bones are still soft. They do not harden until the children reach their late teens. Because the bones are still pliable, corrective procedures such as braces work faster than they do for adults.

In short, early treatment at our Sherman office often allows your child to avoid lengthy procedures, extraction, and surgery in adulthood. Early treatment is an effective preventive measure that lays the foundation for a healthy, stable mouth in adulthood.

As you are undergoing orthodontic treatment, our team at Knowlton Family Orthodontics, would like to point you to a helpful website. Our friends at the American Association of Orthodontists (AAO) have lots of important information about everything relating to braces, including myths and facts of orthodontics, tips for a better orthodontic experience, and cool webisodes about orthodontics.

Check out AAO today and feel free to contact us at our Sherman office if you have any questions.

Dr. Clark Knowlton and our team at Knowlton Family Orthodontics, hope this information helps you!

Did you know that more than four million children throughout the US and Canada have braces? At Knowlton Family Orthodontics,, Dr. Clark Knowlton and our staff know that kids can be picky and meticulous eaters. If cooking for children without braces is difficult, preparing meals for children with braces is especially daunting.

“Comfort food takes on a whole new meaning when cooking for children with braces,” says Pamela Waterman, author of The Braces Cookbook: Recipes You and Your Orthodontist Will Love. “Whether you have new brackets, elastics, headgear, or more, there are great foods you can eat; it just takes some thought.”

These five braces-friendly dinner recipes will be sure to keep your kids smiling!

1. Macaroni and cheese is the ultimate comfort food. Pasta is soft, so it’s easy for children with braces to eat. The warm, gooey cheese melts in the mouth and doesn’t get stuck in the braces like hard or sticky foods. Chances are good that even the pickiest eater has a soft spot for this homespun classic.
2. The key to braces-friendly cooking is to replace hard, crunchy foods with softer substitutes. In other words, burritos are a better option than tacos, and lasagna is a better choice than pizza. At the same time, if you have the culinary skills to whip up a pizza with a soft crust, you’re going to win the Best Mom (or Dad) of the Year award.
3. Your child may not like fruits and vegetables. In fact, he or she may even try to convince you that with new braces, fruits and vegetables are off limits. Nice try, kids. While your child is wearing braces, prepare meals with cooked vegetables instead of raw vegetables. A vegetable stir-fry is a healthy and soft dinner choice for kids with braces.
4. Whether it’s beef or chicken, meat is a good source of protein. However, meat, even when it’s carefully taken off the bone (kids with braces should never eat meat from a bone), can easily get caught in braces. Sloppy Joes are a good alternative. The beef is softened by the addition of the sauce and less likely to get strung in the wires and brackets of the braces. Serve the Sloppy Joes with a side of mashed potatoes.
5. Ask any child and he or she will tell you that the best part of dinner is dessert. While hard candy, licorice, taffy, caramel, popcorn, and all other chewy candies should be avoided, ice cream and cake are braces-friendly treats that keep kids smiling.

Need more braces-friendly food ideas? Feel free to ask any member of our team.

Did you know that even in ancient times, people wanted to improve the look and function of their smiles? Knowlton Family Orthodontics, thinks of modern orthodontic appliances as sleek, efficient technology, but this was not always so! Take a look at the highlights in the evolution of braces.

Ancient Times: From Greece to Rome

• According to The Angle Orthodontist, Aristotle and Hippocrates first thought about methods for straightening teeth between 400 and 300 BC.
• The Etruscans, in what we now know as Italy, buried their dead with appliances that maintained spaces and prevented collapse of their teeth and jaws during life. Archaeologists have discovered mummified remains in various locations that have metal bands wrapped around the teeth.
• A Roman tomb has also been discovered in which the teeth were bound with gold wire, including documentation on the wire’s use as a dental device.

18th Century: A French Development

• The French dentist Pierre Fauchard is acknowledged as the father of modern dentistry. In 1728 he published a book that described various methods for straightening teeth. Fauchard also used a device known as a “blandeau” to widen the upper palate.
• Louis Bourdet was another French dentist who published a book in 1754 that discussed tooth alignment. Bourdet further refined the blandeau and was the first dentist to extract bicuspids, or the premolar teeth between canines and molars, for the purpose of reducing tooth crowding.

19th Century: Orthodontics Defined

• Orthodontics started to become a separate dental specialty during the early 19th century. The first wire crib was used in 1819, marking the beginning of modern orthodontics.
• During this period, gold, platinum, silver, steel, gum rubber, vulcanite, and occasionally wood, ivory, zinc, and copper were used — as was brass in the form of loops, hooks, spurs, and ligatures.
• Edward Maynard first used gum elastics in 1843 and E. J. Tucker began making rubber bands for braces in 1850.
• Norman W. Kingsley published the first paper on modern orthodontics in 1858 and J. N. Farrar was the first dentist to recommend the use of force over timed intervals to straighten teeth.

20th Century: New Materials Abound

• Edward Angle developed the first classification systems for malocclusions (misaligned teeth) during the early 20th century in the United States, and it is still in use today. Angle founded the American Society of Orthodontia in 1901, which was renamed the American Association of Orthodontists in the 1930s.
• By the 1960s, gold was universally abandoned in favor of stainless steel.
• Lingual braces were the “invisible” braces of choice until the early 1980s, when tooth-colored aesthetic brackets made from single-crystal sapphire and ceramics became popular

Today

As we arrive in the present, you need only look at your own braces to see how far we’ve come. Your treatment plan was probably created with a 3D digital model, and we’ve likely used a computerized process to customize your archwires. Perhaps you have clear aligners, self-ligating brackets, or highly resilient ceramic brackets with heat-activated wires.

Orthodontics has come a long way from the days of Aristotle, and even the bulky wrap-around braces of just 60 years ago. Regardless of your specific treatment plan, the development of high-tech materials and methods has made it possible for your orthodontic experience to be as effective, efficient, and comfortable as possible. Call our office in Sherman to schedule your first orthodontic consultation!

Halloween is a favorite holiday among children due to the festive games, imaginative costumes, and candy. Modern celebrations stem from a combination of traditions from Pagan and Christian traditions throughout the centuries. The original holiday was called Samhain and derived from the ancient Druids of Ireland. In their belief system, November 1st marked the beginning of winter, and Pagans began their Samhain celebrations at sunset on October 31st.

Modern Celebrations of Halloween

Children and adults love dressing up for Halloween, and this tradition comes from the ancient belief in spirits. From sunset on October 31st until sunrise on November 1st, the souls of the dead entered the physical world. Some spirits were benevolent and wanted only to cross over to the afterlife while others harbored malicious intents of revenge and trickery. Pagans wore masks and disguised themselves so that the malevolent souls would mistake them as fellow spirits.

Families left food and ale outside of their doors to appease the spirits. With the rise of Christianity in Europe, the church encouraged its members to offer food and money to beggars. In exchange, the beggars would agree to pray for the family's deceased loved ones. Eventually these traditions led to the development of today's customs where children dressed up and received candy from their neighbors while circling the community.

Teeth-Friendly Treats

With all of the excitement and free candy on Halloween, it is easy to get carried away on a sugar high. Parents warn their children not to eat too many pieces in one night to avoid tummy aches and cavities. Our team at Knowlton Family Orthodontics, especially wants to remind children with braces to be extra cautious about the treats they eat because some varieties can get stuck in between the brackets and damage the devices. Sticky candy, such as caramels, fruit chews, and gum should be avoided when wearing braces. Children can trade with their friends and siblings to get only safe candies. The following list offers some alternative treats that children with braces can safely enjoy.

• Solid chocolate, including milk, white, or dark
• Nougat-filled candy bars, such as Three Musketeers
• Candy-coated chocolates like M&Ms
• Powdery candy, such as Sweet Tarts or Pixie Stix
• Mint-flavored candy
• Malted milk balls
• Cookies
• Peanut butter crackers or cookies

When in doubt, children should ask their parents or Dr. Clark Knowlton if a specific candy is safe. Halloween is a fun holiday for children, and having braces does not have to take away any of the excitement from tasty treats.

Gum disease is one of our most common dental diseases, affecting both children and adults. If you are considering getting braces or aligners, make sure your gums are their healthiest before beginning orthodontic treatment.

• Gingivitis

For both younger and older patients, gingivitis (mild gum disease) can be the result of poor brushing and flossing habits. When plaque builds up around the teeth and gums, it irritates delicate gum tissue. The gums become inflamed, and symptoms such as redness, swelling, tenderness, bleeding, and bad breath can result. Usually, your dentist can treat early stages of gingivitis with tips on more efficient brushing and flossing, a professional cleaning, and suggestions for mouth rinses if needed.

Because brushing and flossing with braces can be more difficult, you need to devote special attention to your cleaning routine to prevent gingivitis from developing after you start treatment. Talk to us any time about how to brush and floss most effectively when you wear braces. Dr. Clark Knowlton can also recommend tools designed especially for braces wearers to get your teeth and gums as clean and plaque-free as possible. If you are a candidate for clear aligners, this option can make it easier to keep your teeth their cleanest. We’ll work with you to keep your gums healthy as your orthodontic work takes place.

• Periodontitis

For older patients, gingivitis, left untreated, can eventually lead to periodontitis (severe gum disease). This chronic infection can lead to the formation of pockets between your gums and teeth that become home to bacteria and infection. Over time, periodontitis can lead to the destruction of gum, ligament, and bone tissue. Left untreated, it can lead to loose teeth and even bone and tooth loss.

Making sure you schedule regular dental exams will allow your dentist or periodontist to detect and treat any signs of periodontitis as early as possible. If you have any of the symptoms of gum disease, it’s important to treat the cause of these symptoms as soon as possible to protect your gums, bone, and teeth. Deep cleaning procedures such as scaling and root planing, topical and oral antibiotics, and oral surgeries such as flap surgery or bone and tissue grafting can help reverse the effects of periodontitis.

Because orthodontic treatment involves moving the teeth and re-forming the ligament and bone tissue, which hold them in place, you need healthy periodontal ligaments and bones to begin treatment. If you have suffered shifting teeth or bone loss due to periodontitis, talk to us. We will let you know at your visit to our Sherman office if you are a good candidate for orthodontic work, and which type of appliance is best for your periodontal health.

We are happy to talk to you about the best way to achieve an attractive smile and a healthy bite if gum disease has been a problem in the past. Most important, we want to make sure that your teeth and gums are their healthiest even before you begin orthodontic treatment. Preventing and treating gum disease will provide the foundation you need for a lifetime of beautiful smiles.

Sports are great for children for a variety of reasons. Children can develop their motor skills, learn how to solve conflicts and work together, and develop their work ethics. As a parent, you may recognize the benefits of sports, but also naturally worry about your child’s health and safety. Your job goes beyond providing a water bottle and making sure your child follows the rules of the game.

Although you may not think of your child’s teeth first when you think about sports, accidents can happen that affect your children’s teeth. A stray hockey stick, an errant basketball, or a misguided dive after a volleyball are examples of ways a child could lose a tooth. In fact, studies show that young athletes lose more than three million teeth each year.

Becoming a Better Athlete to Protect Teeth

Becoming a better athlete involves refining skills, learning the rules of the game, and being a good sport. These components are not just about winning. They are also about safety. Young athletes who are better ball-handlers and who are careful to avoid fouls and penalties are less likely to have harmful contact with the ball, teammates, or opponents. Children who are better roller-bladers are less likely to take a face plant into the blacktop, and more likely to save their teeth. Being a good sport and avoiding unnecessary contact is one way to protect teeth.

Proper Protective Equipment for Teeth

If your child is in a sport that poses a high threat to teeth, it is essential for your child to wear a mouthguard. Mouthguards fit your child’s mouth and consist of soft plastic. Dr. Clark Knowlton can custom fit a mouthguard if generic ones are uncomfortable. While children may resist wearing a mouthguard initially, your persistence in insisting that they wear it should be enough to convince them. A helmet or face mask provides additional protection.

While prevention is best, rapid treatment can improve the situation if your child does happen to lose a tooth during sports. Rapid implantation can work in about ten percent of cases. To learn about ways to save a lost tooth, contact our Sherman office.

Fall can be a really enjoyable time of the year for you and your family. The kids are back in school, the leaves are changing, and Halloween approaches. This holiday is a lot of fun for kids, but Knowlton Family Orthodontics, wants to remind you it can also be risky, especially for your child’s braces. If you have kids with braces, take a look at the following tips from the American Association of Orthodontics (AAO) on how to keep your kids and their teeth safe this Halloween season.

Important Safety Tips

Trick-or-treating is a favorite Halloween activity for kids everywhere. While it is a great holiday tradition for children, it comes with some potential risks. To keep your kids safe while trick-or-treating, try following these simple guidelines:

• If you have young children, make sure they are accompanied by an adult at all times.
• You or your kids should always carry flashlights.
• For costumes, try to include a light-colored or reflective element that can be easily seen by oncoming traffic.
• Avoid costumes that include a mask, especially for younger children. These can pose a safety hazard for both the wearers and the people around them.
• Tell your kids not to eat any of their candy until they arrive home. Be sure to inspect all treats carefully before letting them dig in.

Following these guidelines can help you keep your kids safe on Halloween.

Halloween Treats to Avoid if Your Child Has Braces

If your kids have braces, you’ll want them to steer clear of certain treats on Halloween. Many candies can cause damage to braces, so it’s wise to avoid them while you’re celebrating this fun holiday. Here is a list of treats to stay away from:

• Hard candies
• Chewy candies
• Nuts
• Caramel
• Licorice
• Jelly beans
• Taffy
• Bubblegum
• Hard pretzels
• Popcorn

Some of these treats may seem harmless, but all of them have the potential to bend or break your child’s braces. So it’s best to avoid eating them altogether.

Braces-Friendly Halloween Treats

If your children have braces, they may feel like they can’t enjoy any treats on Halloween. However, there are plenty of braces-safe treat options for them to choose from, including the following:

• Soft chocolate
• Peanut butter cups
• Gelatin treats
• Ice cream
• Smoothies
• Root beer floats
• Apple cider

These are just a few braces-friendly alternatives to traditional Halloween candy. Helping your kids have a fun and safe Halloween—while at the same time protecting their braces—can be easy if you follow these simple tips and guidelines. Help your kids enjoy the holiday without having to visit Dr. Clark Knowlton for repair work on damaged braces!

Your smile is just about perfect. There’s just that one tooth that’s out of place. So, do you really need to see an orthodontist?

Absolutely! Why? There are several good reasons.

First, let’s check to make sure there is no physical problem causing that turned tooth. A crooked tooth might result from an early oral trauma while the tooth is developing, or a baby tooth lost too early, or the loss of a nearby adult tooth. But a sudden change in a tooth’s orientation might also be caused by a cyst or a tumor. If you notice any changes in your tooth’s position, it’s a good idea to talk to Dr. Clark Knowlton.

Second, we want to make sure your bite is aligned properly. If your tooth is crooked due to crowding by your other teeth, or if it has rotated a bit because there is too much space between your teeth, your bite might be affected as well. Malocclusions, or bad bites, can lead to a number of unpleasant consequences, including headaches, jaw pain, and increased pressure and stress on the teeth.

Third, a crooked tooth can lead to more difficulty brushing and flossing between and around the teeth, which increases the chance of tooth decay.

Fourth, we provide the professional medical care you need. Some people with a turned tooth attempt self-help with rubber bands, dental floss, or other home remedies. Not only is this unlikely to work, it can actually lead to infection, root problems, and even tooth loss.

Maybe there are no health concerns causing, or caused by, your crooked tooth. Your bite is strong, and you like your unique smile just the way it is. In that case, smile on!

But if you are interested in aligning that one crooked tooth with the rest, give our Sherman office a call, and we’ll get to the root (literally!) of the problem. Depending on the reason your tooth is twisted, we’ll suggest the braces or clear aligners that will provide your most effective orthodontic treatment, and give you safe and lasting options for achieving the smile you’ve always wanted. Perfect!

Most parents know that routine dental care should begin during their child’s toddler years. And many assume they must wait until their child has all of his or her permanent teeth to visit Dr. Clark Knowlton for an initial orthodontic consultation.

The ideal age for an orthodontic evaluation is age seven. At that age, your child will have a mixture of adult and baby teeth for Dr. Clark Knowlton and our team at Knowlton Family Orthodontics, to make a determination about whether any problems are present. Typically the first molars have come in by the time your child turns seven, giving us an opportunity to check for malocclusion, also known as “bad bite.” Also, by the time your child reaches the age of seven, the incisors have begun to come in, and problems such as crowding, deep bites, and open bites can be detected.

When Dr. Clark Knowlton and our team perform an evaluation on your child at an early age, you get one of two positive outcomes. Although treatment usually will not begin until one to five years after the initial evaluation, it’s still helpful in determining whether your child has any problems with the jaw and teeth early when they are still easy to treat. Earlier treatment can also cost less to correct a potential problem than delayed treatment.

Early evaluation, of course, may signal a need for early treatment. For some children, early treatment can prevent physical and emotional trauma. Aside from spurring years of harmful teasing, misaligned teeth are also prone to injury and are detrimental to good oral hygiene.

If your child is approaching age seven, or has already surpassed his or her seventh birthday, it is time to schedule an appointment for an initial examination at Knowlton Family Orthodontics,.

Perhaps you are already planning for the years when your teenager will need orthodontic work. But hearing that your seven-year-old would benefit from orthodontic treatment? That might come as a complete surprise! It’s a recommendation with real benefits, though—early intervention can save children from tooth and bite problems now, and even simplify their future orthodontic care.

Treating young children for orthodontic problems is called “interceptive orthodontics.” When the permanent teeth start arriving, there might be problems with spacing, bite or protruding teeth. Often, treatment while the bones are still growing is the best way to prevent more serious problems later.

We recommend that your child have an orthodontic consultation with Dr. Clark Knowlton around the age of seven. This exam is especially important for children who may have been thumb suckers or used a pacifier after the age of three, or if you notice obvious teeth, speech or bite issues.

• Crowding and Spacing Issues

Teeth are arranged in two crescent shapes called arches. When the arch of your child’s mouth is small, the permanent teeth can become very crowded as they erupt. Formerly, teeth were removed to make more room. Now, early use of a palatal expander can enlarge the upper dental arch in order to help the permanent teeth come in without crowding. The need for future tooth extraction is reduced, and there is a better chance for correct spacing and alignment with early treatment.

On the other hand, when a child loses a tooth too soon, too much space left between baby teeth can also be a problem. The remaining teeth can shift, leaving the wrong place open for the adult tooth to come in. We might recommend a space maintainer so that there is no shifting of the teeth and there is room for the proper adult tooth to erupt in its proper spot.

• Malocclusions (Bite Problems)

Some malocclusions, like a crossbite, can be caused by problems with jaw and facial structure. Again, we might recommend a palatal expander to help the upper arch of the teeth to fit properly with the lower jaw. Problems with overbite, open bite and other bite issues can also be addressed at this age if necessary. Early care can discourage TMJ (temporomandibular joint) disorders, reduce speech problems, and improve facial symmetry. 

• Protruding Front Teeth

Teeth that protrude are much more likely to be damaged when playing or after a fall. Methods such as braces or appliances can reposition them and protect them from breaking or fracturing.

Many children will not need early intervention, and many can wait until they are older for orthodontic work. But if your young child has orthodontic problems that should be addressed, early intervention can do more than set the stage for successful orthodontics in the teen years. Talk to our Sherman team about what we can do for your child. Interceptive orthodontics can protect teeth, guide jaw and speech development, modify harmful oral habits and help to adjust bite problems before they become serious—when it comes to your child’s dental health, the best solutions are early ones!

These days, Americans everywhere are putting greater emphasis on health and self-improvement, and more people are seeking orthodontic treatment to improve their smile. September happens to be Self-Improvement Month, and our team at Knowlton Family Orthodontics, knows that orthodontic treatment is an investment in self-improvement that will provide benefits for a lifetime. Recent advances in orthodontia now make treatment more comfortable for many interested in obtaining that beautiful smile.

Not only does orthodontic treatment give you a beautiful smile, it can also benefit your dental and general health. If teeth are poorly aligned, removing plaque and tartar by brushing and flossing may be difficult. A bad bite may result in fractured or excessively worn tooth surfaces, and the extra stress caused by a bad bite may even result in problems with your jaw joints.

If you’ve been thinking about getting that perfect smile, Dr. Clark Knowlton would love to have you visit for an initial consultation. Please give us a call to schedule a visit! See you soon!

Labor Day is upon us, and that means the non-official end to summer. Before the kids head back to school and temperatures start to cool down, this is your last chance to barbeque in the beautiful Sherman community, head to the lake, and wear your favorite pair of white pants.

About Labor Day

Each year, Labor Day is celebrated on the first Monday of September. It is the one day of year Americans celebrate their achievements in work, which the US Department of Labor says has contributed to prosperity and well-being of America as a whole. Americans have been celebrating Labor Day since the 1880s, and today it is an official federal holiday.

Interesting Facts About Labor Day

• Every year, more than 30 million Americans travel over Labor Day weekend.
• Canada was the first to celebrate Labor Day, and the US soon followed.
• President Cleveland made Labor Day and official US holiday in 1894.
• Labor Day marks the beginning of the NFL and NCAA sports seasons for fans.
• Labor Day marks the end of hot dog season, when Americans consume seven billion hot dogs.

Thanks for being a valued patient of our orthodontic office. Our staff would like to wish you a safe and happy Labor Day weekend. Enjoy your time off!

Summer means sun and heat and delicious, frosty treats to keep you cool while you’re enjoying the sun and heat. If you’re wearing braces this summer, not to worry! Dr. Clark Knowlton and our team have plenty of ideas for icy treats to help you beat the heat.

• Fruit Smoothies

Low on refined sugars, high on vitamins and minerals, refreshing, delicious, easy on brackets and wires—what’s not to like about fruit smoothies? And if you want to up the nutritional value by adding some green vegetables to the blender, even better!

If you’re buying your smoothie instead of making it yourself, watch out for added sugars in ingredients like ice cream, sherbet, frozen yogurt, and sweetened fruit juice. It can be more challenging to keep your teeth clean with braces, so watching your sugar intake is more important than ever. Try a smoothie made with low-fat yogurt, fruits and/or vegetables, and 100% fruit juice instead. Just as delicious, without extra tablespoons of added sugar.

• Iced (Herbal, Green, or White) Tea & Frozen Coffee Treats

Coffee and black tea contain compounds called tannins, which can stain tooth enamel and braces. Using a straw can help you limit your enamel’s exposure. If you enjoy a cold, iced beverage occasionally, consider green, white, or herbal iced teas. They don’t stain as much, and many contain healthy antioxidants and other health benefits.

And if you can’t resist that creamy iced coffee beverage? Use a straw to avoid bathing your teeth in the stain-causing tannins and enamel-weakening acids found in coffee. Because these drinks can be full of added sugars, consider reduced-sugar options and skip the toppings.

• Frozen Treats

When you hear that familiar tune coming from the neighborhood ice cream truck, do you have to stand on the sidewalk, sadly watching it disappear into the distance? Not necessarily!

Milk shakes, ice cream, and frozen yogurt are a refreshing choice in a braces-friendly form—and they contain calcium. Popsicles and fruit bars can be a safe choice if you don’t bite into solid ice. You wouldn’t chew on ice because it could damage your braces, so make sure your frozen bar softens a bit before you enjoy it.

What kinds of frozen treats to avoid? If your favorite flavor of ice cream or your go-to ice cream bar contains hard or chewy additions like nuts and pieces of candy, choose another item from the menu. Surrounding nuts and candies with ice cream doesn’t actually make them any safer for your brackets and wires, and may lead to an unplanned visit to our Sherman orthodontic office to fix a broken bracket.

We don’t recommend a steady diet of sweet treats, because you want a cavity-free smile when your braces come off. And water is always an excellent summertime choice for both hydration and health. But an occasional frosty dessert is cool and tasty and soothing, especially if you’ve just had an adjustment. Just be sure to brush—or rinse with water if you can’t brush—after indulging. Now, what’s on the menu for fall?

It's the big day and your braces are finally coming off! Does that mean you are completely done? Not so fast! After you complete your treatment here at Knowlton Family Orthodontics,, Dr. Clark Knowlton and our team will recommend you wear a retainer, which must be worn routinely after treatment in order to hold your teeth in their proper, new position while your gums, ligaments and bones adapt. Most patients are required to wear their retainer every night at first, with many also being directed to wear them during the day. It's important to know there are different kinds of retainers, and today we thought we would explain the differences between them.

Hawley Retainers

The Hawley retainer is one of the most common types of retainers. It is a removable retainer made of a combination of a metal wire that typically surrounds the six anterior teeth and is designed to keep your teeth in place. This retainer is made from impressions of your teeth so that it fits snugly and comfortably in the roof of your mouth, while the wire and acrylic framing keeps your teeth in an ideal position. The acrylic can also be personalized with a large number of colors or patterns.

Essix (Clear) Retainers

The Essix retainer is a transparent removable retainer that fits over the entire arch of your teeth. This clear or transparent retainer fits over the entire arch of teeth and is produced from a mold. Similar to Invisalign’s clear aligner trays, Essix retainers have no metal or wires. They can also be used to produce minor tooth movements and can be helpful in prevention of tooth wear due to tooth grinding at night.

Bonded Retainers

Bonded lingual retainers are cemented directly to the inside surface of your lower canines. Dr. Clark Knowlton and our team at Knowlton Family Orthodontics, encourage our patients with bonded lingual retainers to be careful with their bite as the bonding material may break due to incorrect biting and cause your teeth to shift. As with removable retainers, it is important to keep your bonded retainers clean. When brushing, make sure to carefully clean the inside of your lower teeth, as well as the wire itself.

The retention phase of treatment begins when the patient’s braces are removed. Retainers are worn full time, typically for the first nine months, except while eating. Retainers should also be removed before brushing your teeth.

If you have any questions about the retainers we offer or to learn more about post-orthodontic treatment, please feel free to contact us at our convenient Sherman office and we will be happy to answer any of your questions!

Orthodontic treatment involves a lot more than just straightening your teeth. For a healthy smile, your bite must be healthy as well! This means that the upper and lower jaws need to fit together properly and comfortably.

If your bite is out of alignment because of jaw misalignment, orthodontic treatment can help correct the shape and position of your jaws with devices called functional appliances. These appliances are most often used for young patients whose bones are still growing, and are designed to treat malocclusions, or bite problems.

Common malocclusions such as overbites and overjets can occur when the upper teeth protrude further than they should, or the lower jaw is positioned too far back, or both. The Twin Block appliance can be used in such cases to help move your lower jaw and teeth into alignment with your upper jaw.

Why “Twin”? Because the Twin Block appliance is two separate pieces, each made of wire and smooth acrylic. Both pieces are crafted to fit precisely over your upper and lower arches and can be adjusted as your treatment progresses. The top plate can also be adjusted, if necessary, to widen the upper palate.

Why “Block”? Acrylic blocks cover the biting surfaces of several of your upper and lower teeth. These blocks fit together like a 3D puzzle. When you bite down, the upper blocks interlock with the lower blocks, pushing the lower blocks forward just a bit before you can bite down completely. Over time, bit by bit (and bite by bite), the Twin Block appliance advances your lower jaw and teeth to create a balanced, comfortable bite.

For the quickest and best results, you should wear your Twin Block appliance as directed. It’s made to be worn comfortably while you sleep, eat, and otherwise go about your day. (It’s a good idea to check with our Sherman orthodontic team to see about removing it when you’re active, especially for swimming and contact sports.) When it’s time to brush, the Twin Block appliance is removable. This means that you can clean your teeth and your appliance easily.

And, while it’s made to work hard for you, it’s not indestructible. Don’t expose your appliance to heat or hot water, as the plastic may warp. Use the cleaning methods we recommend. Finally, when your appliance is out of your mouth, keep it in its case! You don’t want your appliance to end up carefully wrapped in a napkin in the nearby recycling bin. Or, even worse, in your dog’s mouth instead of yours.

The Twin Block appliance might fit together like a puzzle, but there’s nothing puzzling about how to achieve your best and fastest results. Your success really depends on you. Follow Dr. Clark Knowlton and our team’s advice, wear your appliance as directed, and you’ll be on your way to a healthy, comfortable bite and an attractive, confident smile!

Now that many of the schools in Sherman are back in session, Dr. Clark Knowlton would like to remind all of our patients about the importance of scheduling appointments in advance. With school, clubs, sports, and family duties to consider, we know that it can be challenging to find time to visit Knowlton Family Orthodontics, this fall. In order to accommodate all of our patients’ busy schedules, it is important that you plan ahead for your appointments so that we are able to provide you with a convenient appointment time.

As always, please remember to give us advanced notice if you’re unable to make your regularly scheduled appointment with Dr. Clark Knowlton and our team. Feel free to give us a call if you have any questions, or if you would like to schedule your fall appointment.

We’ll see you soon and hope summer is winding down nicely for you and your family!

By now, you’re very familiar with the basic building blocks of your braces. Brackets, wires, and ligatures are no mystery to you. But suddenly, you’re hearing a brand new term—“power chains.” What exactly are these power chains, and why does your orthodontist think you need them? Let’s see how power chains are *linked* to your orthodontic treatment.

• First, why power chains?

They’re not really chains in the necklace or bike chain sense—in fact, they’re only very rarely made with metal. These chains are most often a string of O ring loops just like your elastic ligatures, attached in a row to resemble a chain.

Chain lengths are tailored to your specific needs. Dr. Clark Knowlton will attach each individual loop in the chain around a single bracket, linking selected teeth together. Chains might stretch across a few teeth, several teeth, or your entire upper or lower arch.

• Second, why power chains?

Because these chains are usually made of the same elastics that your ligatures, or bands, are made from, they want to hold their original shape. They will try to return to that original shape even as they are stretched between your brackets. As they contract, they help move your teeth together. 

Over time, just like an over-stretched rubber band, they lose their elasticity, and won’t work as effectively. That’s why you’ll probably get a new power chain whenever you come in to our Sherman office for an adjustment.

• Third, why power chains?

This is the most important question. How can a power chain improve your smile?

Usually, power chains become part of your treatment after the first phase of alignment. They can be used to help align your teeth or correct your bite, but are most often used to close gaps between the teeth.

You might have a gap after a tooth has been extracted. Or, as your teeth move into their new positions, you might suddenly see noticeable spaces between them. Power chains move the teeth closer together to eliminate these gaps, and do it more quickly than brackets and wires alone can do.

• How long will you need them?

This is something Dr. Clark Knowlton will discuss with you. Whether it’s a matter of weeks or months, your treatment plan is designed to move your teeth into their best positions, and to do it carefully for a lasting, healthy alignment.

• Power chain options

Depending on the size and spacing of your teeth and your treatment plan, these chains usually take one of three forms: closed/continuous, short, and long. The only difference is the distance between the rings.

We will choose the type of chain that’s best for your treatment. Your contribution is to personalize your power chain. Power chains come in a rainbow of colors, allowing you to mix and match. You can even coordinate with your ligatures if you have ties as well as chains. If your goal is to have your braces blend in, various shades of white, silver, or clear colors are available. Want to mix things up? Choose a different color with every adjustment.

• Anything else?

You might experience some discomfort for the first few days with a new power chain, just as you might with any adjustment. Dr. Clark Knowlton will have suggestions for making those first days as comfortable as possible.

Also, like brackets and ligatures, power chains can trap food particles, so be sure to follow our instructions for keeping your teeth and your braces their cleanest.

Now that you’re all caught up on what power chains are and what they can do for you, let’s mention one more benefit. This is a process where you can actually see the gaps between your teeth closing over the weeks you wear your power chains. Keep a selfie record of your progress as you create your beautiful, healthy smile. That’s an em*power*ing experience!

Clear aligners like Invisalign® have become increasingly popular over the past several years and rightly so. They’re removable, easier to clean than braces, and hardly anyone knows you're wearing them. They are great in treating many cases, but they aren't for everyone.

Below, Dr. Clark Knowlton and our team cover some of the instances where clear aligners just aren't the answer:

• If drastic tooth movement is required – Fixed appliances deliver much more significant tooth movement. So if your case is a drastic one, clear aligners may not be the best choice.
• If you need to move molars – Molars have much stronger roots than your other teeth and would require significantly longer to move with clear aligners. A fixed appliance is the best choice in this instance, especially if you have a substantial overbite or underbite that needs to be dealt with.
• If you're the type who often forgets or loses things –If you would forget to wear your aligners for the prescribed amount of time (usually at least 22 hours per day), clear aligners are probably not the best choice for you. Forgetting to wear them can delay treatment and even make it so you need to regress to the previous set of aligners to be able to move forward with treatment. And let's face it, if you're not careful, removable aligners are easy to lose. Losing aligners delays treatment and is expensive since you need to buy replacements to stay on course. Replacing a lost set of aligners usually takes between seven and ten days—a definite setback in treatment.
• If you're looking for the fastest treatment possible – Clear aligners usually can't move teeth as quickly as fixed appliances. So if you're looking for the fastest way to achieve your desired result, clear aligners may not be the best bet.

Feel free to talk with Dr. Clark Knowlton about your options regarding braces and clear aligners. We know there are pros and cons to both, so let’s find the option that works best in your life and for your specific needs in terms of treatment. Schedule an appointment at our Sherman office today!

If you’ve been following your dentist’s advice, you know that you should be devoting two minutes twice a day to gentle, thorough brushing, and floss carefully at least once a day. It’s automatic. It’s habit. You’re in the zone. Now that you have braces or aligners, though, it’s time to step up your game!

Removing Food Particles

No one wants to worry about food particles stuck in braces right after lunch—or, worse, noticed hours after lunch! Because food tends to stick around brackets and wires, Dr. Clark Knowlton and our Sherman team recommend brushing after a meal. Not only will you be confident in your smile, you’ll be improving your dental health.

But why?

Better Plaque Removal

Plaque is a sticky film containing acid-producing bacteria. These acids lead to weakened enamel and, eventually, cavities. Careful brushing with a fluoride toothpaste helps eliminate plaque. But as you may have discovered, it can be more difficult to clean around brackets and wires. Brushing after eating will help keep plaque from forming on your enamel, and using the right tools (floss made for braces and interproximal brushes) will help clean plaque more effectively.

But what about aligners?

If you wear clear aligners, you take them out when you eat. This avoids the problem of food particles trapped in brackets and difficulty brushing around wires. But this doesn’t mean you are home free. Brushing after every meal is also a good idea when you wear aligners.

Our teeth have an organic way to help remove food particles, acids, and bacteria between brushings—saliva! Your aligners, while covering your teeth, decrease their exposure to saliva. It’s really important, then, to make sure you brush after eating. Otherwise, food particles and acids can remain on your teeth after you replace your aligners, increasing the risk of enamel erosion and decay.

Brushing helps keep your aligners clear as well. If you notice aligner discoloration, this could be the result of food residue such as tomato sauce or coffee that remained on the teeth after a meal. Anything that stains your enamel can stain your aligners. And don’t forget about plaque. Plaque can stick not only to your enamel but to your aligners as well. If you notice that your aligners are cloudy, or have an unpleasant odor, talk to us about the best way to keep them their cleanest.

Make a Plan

So, what can you do to make brushing more convenient during a busy day? Be prepared! Keep a small kit with you containing a travel brush, a small tube of toothpaste, floss, and an interproximal brush for quick cleanings when you’re out and about, and you’ll never have to worry about your smile.

Of course, there are occasions when it’s just not possible to brush. At times like this, whether you have traditional braces or aligners, it’s a good idea to rinse well with water after meals or snacks, and brush as soon as you can.

Start your new dental routine now, and soon it will be automatic. An everyday habit. Your new comfort zone. After all, taking a few extra minutes from your day to brush after every meal will be well worth it when you end your orthodontic treatment with a smile that is as healthy as it is beautiful!

You’re going to the game! And no matter which sport you follow, there’s so much to enjoy—the best athletes, exciting play, hometown pride—and those delicious concession stands! But if you’re wearing braces, your team spirit might be flagging. Here are a few ideas to help keep your food choices out of foul territory.

You know that you should avoid the foods that can damage braces or stick around your wires and brackets. This means any snacks that are sticky, chewy, hard, or crunchy are benched. So most of the traditional game foods—peanuts, popcorn, nachos, licorice—are just not safe for traditional metal or ceramic braces. Let’s save those for next season.

So what is on the program? You still have many great choices.

• Ice Cream. A favorite that’s easy on your braces (no nuts or caramel, please). If you want a healthier option, try frozen yogurt or a smoothie.
• Hearty Snacks. Pretzels and pizza can be too thick and chewy. Go for the mac and cheese, chili, or deli meats on soft bread. And remember, small bites! Check with us to see if hamburgers and hot dogs are safe for your braces.
• Soft Candies and Cookies. Licorice, caramels, and crunchy cookies are out, but soft chocolate bars and moist, tender cookies are still on the menu.
• Sodas and sports drinks can create a sugary and/or acidic environment which can damage enamel over time. If you do indulge, try to rinse with water ASAP.

Stadium and arena menus contain a lot of starches and sugars, which stick to braces and fuel cavity-causing bacteria. So it’s best to go easy on the snacks. But you don’t have to give up a half-time treat entirely—just enjoy in moderation and be sure to brush thoroughly when you get home.

If you wear clear aligners, your choices are simpler. You can remove your aligners, eat normally, and clean your teeth thoroughly before replacing them. But one flag on this play—remember that you’re supposed to wear your aligners for a set number of hours each day. You don’t want to be putting your treatment behind schedule if the game goes into triple overtime. Keep your eye on the clock, and you should be fine.

Dr. Clark Knowlton and our Sherman team are always happy to recommend the best food options for your individual orthodontic treatment, and we can help you select a roster of safe and healthy choices. You might miss out on a few of your favorite sports snacks right now, but let’s remember the true fan’s motto: There’s always next year! Taking care of your braces and teeth means faster treatment and healthier teeth. Your All-Star smile will be worth it!

Every year, Americans all over the world celebrate the birth of the country and its independence on the Fourth of July. There are countless ways that people celebrate and they range from community parades and large scale gatherings to concerts, fireworks displays, and smaller scale celebrations among family and friends. For some people, July 4th is synonymous with baseball, while for others it is all about the beach of barbecues. However you celebrate, you can be sure that red, white, and blue is visible everywhere throughout the area.

The Beginnings of Fourth of July Celebrations

Although it wasn't officially designated as a federal holiday until 1941, the actual tradition of celebrating Independence Day goes back to the time of the American Revolution (1775 – 1783). At the time of the American Revolution, representatives from the 13 colonies penned the resolution that ultimately declared their independence from Great Britain. The continental congress voted to adopt the Declaration of Independence on July 2nd of 1776. Two days later, Thomas Jefferson's famous document that is now known as the Declaration of Independence, was adopted by delegates representing the 13 colonies.

First States to Recognize the Fourth of July

In 1781, Massachusetts became the first state (or commonwealth) whose legislature resolved to designate July 4th as the date on which to celebrate the country's independence. Two years later, Boston became the first city to make an official designation to honor the country's birth with a holiday on July 4th. In that same year, North Carolina's governor, Alexander Martin, became the first governor to issue an official state order stipulating that July 4th was the day on which North Carolinians would celebrate the country's independence.

Fun Facts About the Fourth of July

• The reason the stars on the original flag were arranged in a circle is because it was believed that would indicate that all of the colonies were equal.
• Americans eat over 150 million hot dogs on July 4th.
• Imports of fireworks each year totals over $211 million.
• The first “official” Fourth of July party took place at the White House in 1801.
• Benjamin Franklin didn't want the national bird to be the bald eagle. He believed that the turkey was better suited to the coveted distinction. John Adams and Thomas Jefferson disagreed with him, and he was outvoted, so the bald eagle became the official bird of the United States.

For many, the tradition is something entirely different. Along the coastal areas of the United States, people may haul out huge pots to have lobster or other types of seafood boils. Others may spend the day in the bleachers at a baseball game, or at a park, cooking a great traditional meal over an open fire. No matter how or where you celebrate, one thing is certain: all Americans celebrate July 4th as the birth and independence of our country.

Dr. Clark Knowlton and our team at Knowlton Family Orthodontics, wish you a safe and happy Fourth of July!

If you are planning on taking a vacation this summer, we ask that you let us know ahead of time so that we may schedule your summer appointments more efficiently. We also encourage patients and their parents to be proactive in determining when they make their summer appointments.

If you will be gone for an extended period (more than six weeks), we recommend you visit Knowlton Family Orthodontics, prior to leaving and schedule another visit shortly after your return. Lastly, please remember not to indulge in hard, sticky, and chewy treats while enjoying your vacation. We look forward to seeing you soon and hearing about your adventures!

Memorial Day is not only a federal holiday in the United States, but it is a day of observance and remembrance of those who died in service. Originally known as Decoration Day, this solemn day has been marked on calendars since the end of the American Civil War as a day to commemorate both the Confederate and Union soldiers who fought and died in the war.

Marking the graves of fallen soldiers with flowers, wreaths, or other tokens has been practiced throughout history, but it wasn't until the mark of the end of the Civil War that a special day was decided upon as the one to spend in remembrance. By 1890, every state in the country was observing Decoration Day. It wasn't until 1967 when the name formally changed from Decoration Day to Memorial Day, in order to encompass all fallen American soldiers in all wars and conflicts. In June of 1968, Congress moved the official date of Memorial Day to the last Monday in May in order to create a three day weekend.

Today, while there is certainly an air of remembrance on Memorial Day, it has become more a day of spending time with family, friends, and other loved ones. This day is also heralded as the start of summer, with many schools finishing for the year around this time. Our team at Knowlton Family Orthodontics, remembers it as a day to take solace and remembered those lost.

Traditional observances of Memorial Day are still held, and they often involve raising the American Flag then lowering it to a half-staff position until noon, and then raising it once again to its full height afterwards. The flag is lowered to remember those who've lost their lives while in service to their country, and then it is raised to signify our willingness to not let their sacrifice be in vain.

From community parades in the Sherman area, backyard cook-outs, and fireworks to formal ceremonies, Memorial Day is commemorated in many different ways. No matter how you choose to spend this day, take a moment to remember those who've lost their lives in an effort to preserve our freedom.

It’s no easy feat to have one of the best smiles in Hollywood. The reality TV starlet Kristin Cavallari attributes her gorgeous smile to routine oral hygiene, the removal of two impacted wisdom teeth, and having undergone orthodontic treatment. Kristin’s treatment began in sixth grade when she was fitted with a device Dr. Clark Knowlton and our team call a palatal expander, which is used to guide upper jaw growth in our younger patients.

What is a palatal expander?

A palatal expander “expands” (or widens) your upper jaw by applying gentle pressure on your upper molars, and is used to make the bottom and upper teeth fit together better. In addition, palatal expanders work to create more room for teeth, as well as promote a broader, more appealing smile.

Do palatal expanders hurt?

Palatal expanders are usually not painful, however you may experience difficulty speaking and swallowing for the first few days. Adjusting your palatal expander as instructed by Dr. Clark Knowlton will ensure there are no delays in regards to your treatment plan.

Typically, it takes a few weeks to achieve the desired amount of expansion, after which you will keep wearing your expander for about six months, giving time for the new bone to form and stabilize. Dr. Clark Knowlton and our team at Knowlton Family Orthodontics, will give you detailed instructions about how to adjust your appliance and can answer any questions you may have about your palatal expander.

If you have any questions about your palatal expander or your treatment plan with Dr. Clark Knowlton, please give us a call at our Sherman office!

"Motherhood: All love begins and ends there." - Robert Browning

We would like to take this moment to thank all the great moms out there for being so great during their child’s visits to Knowlton Family Orthodontics,. Whether it’s driving their kids to regularly scheduled appointments or for “being there” while their child is treatment, the moms who come to our office are all stellar individuals, so Dr. Clark Knowlton and our entire staff would like you to know that we appreciate you all!

Happy Mother’s Day and enjoy your special day!

Birthdays. Valentine’s Day. Halloween. A trip to the movies. There are just some occasions where a sweet treat is on the menu. Now that you are getting braces, does that mean you have to give up desserts completely? Not at all! The trick to finding the right treat is to know which foods are safe for your braces and which should wait until your treatment is complete.

There are some foods which should always be avoided. They fall into three main categories:

• Hard and Crunchy

Hard candies, peanut brittle, popcorn balls, nutty candy bars—anything that is hard to bite into is hard on your braces, and can damage brackets or even break them.

• Chewy

Caramels, taffy, chewy squares and rolls, licorice and other super-chewy candies can break brackets and bend wires. Not to mention, they are really difficult to clean from the surface of teeth and braces.

• Sticky

Soft foods are generally fine, but soft and sticky candies are another thing entirely. Gumdrops, jelly beans, most gum and other sticky treats stick to your braces, making it hard to clean all that sugar from around your brackets. And even soft sticky candies can bend wires or damage your brackets.

As you have probably noticed, almost all candy falls into one of these categories. Of course, while sugary treats shouldn’t be a major part of anyone’s diet, and careful brushing and flossing are always on the menu if you do indulge, wearing braces does not mean giving up on treats entirely. A better alternative when you are craving something sweet is to choose something that avoids crunchy, chewy and sticky hazards, such as soft puddings, cupcakes or cookies. There are even some candy brands that are safe for your braces.

Talk to Dr. Clark Knowlton the next time you visit our Sherman office about the dos and don’ts of desserts—we have tasty suggestions that will make those special occasions both sweet for you and safe for your orthodontic work!

During the early days of the environmental awareness movement, those who demonstrated against pollution, toxic chemicals, and the general public health were known as hippies. The early 1970s were a time of change, and assertions that we needed to pay more attention to the Earth's atmosphere were generally dismissed. But within a couple decades, it had become clear that the previous generation was right; the citizens of the world needed to become more environmentally conscious.

Many people feel that they can't make a difference if they don't do something big. But caring for the environment doesn't have to be an all-or-nothing concept. In fact, the little things you do can add up to make a great impact, especially in our community. Here are a few ways you can help the environment on Earth Day, April 22nd and all year around.

Four Small Ways to be Environmentally Friendly

• Recycle Your Textiles. Nearly 21 million tons of textiles are added to American landfills each year, according to the Environmental Protection Agency. Donating your unwanted clothing to a secondhand store or an organization that repurposes fabric helps cut down on solid waste and conserves natural resources.
• Reduce Usage of Disposables. Plastic bottles and bags, disposable diapers and other things we can use and toss out are convenient, but they're not necessary. Simply choosing to replace one of type of disposable with a reusable product can help you cut down on waste that has a large negative impact on our environment.
• Conserve Water. If everyone in the United States turned off the water while brushing their teeth, more than 1.5 million gallons of water could be conserved. Turn the water on long enough to wet your toothbrush for brushing and rinsing, and then immediately turn the water off again.
• Turn Off the Lights. Flip the light switch to "Off" if you're going to leave a particular room for 15 minutes or more. This will conserve energy on incandescent light bulbs and cut down on cooling costs.

It's not necessary to be an activist or install solar panels all over your home to help the environment. Although you can do these things, the little everyday measures make a big difference in helping to conserve energy and the environment, while reducing your carbon footprint. Our team at Knowlton Family Orthodontics, wants to remind you to celebrate Earth Day and help the environment, knowing that it will benefit your and your children's generation.

How long? Well, a beautiful smile is both science and art—proper teeth and jaw alignment united with aesthetically pleasing results. Orthodontists achieve both these outcomes with a careful analysis of any dental and facial problems, a treatment plan designed specifically for each patient’s needs, and adjustments through each phase of treatment to carefully bring about that beautiful smile.

And that’s a long way of saying, there’s no one, standard answer as to how long a patient will wear braces because there is no one, standard patient. Often, treatment takes from 18 to 24 months, but it can be months shorter or months longer depending on a variety of different circumstances.

• Different Needs

Your orthodontic needs and goals will generally determine your treatment time. Some patients need only a bit of alignment, which can lead to a fairly short orthodontic experience. Some have malocclusions such as crossbites and open bites that require more complex and lengthy treatment.

And, while we used to think of orthodontics as a teenage rite of passage, that’s certainly no longer the case. Some children will need two-phase orthodontic treatment, where early procedures before the adult teeth even come in ease the way for any necessary second stage treatment when the permanent teeth arrive years later. And some adults will want orthodontic work later in life, where denser bone tissue might lead to (somewhat) longer treatment.

• Different Appliances

Today’s orthodontics offers you many choices in appliances. Lingual braces are an almost invisible option, with brackets and wires on the inside of the teeth. Aligners use clear, custom molded trays to move the teeth into a better position with each new tray. Even traditional braces are smaller and sleeker today, with metal or less visible ceramic brackets. Depending on the orthodontic goals you want to achieve, there might be a small difference in the amount of time each appliance will take to get you to those goals. Talk to us about all your options and what they mean for treatment time.

• Different Levels of Participation in the Process

This is one area you can make a real difference! If you follow our instructions for using your appliances most effectively, you’ll make progress as quickly as possible. If you have aligner trays, be sure to wear them for as long as directed each day. If you have rubber bands attached to brackets on your upper and lower teeth, wear them for as many hours as required, because these little bands are actually the tools that are moving your teeth into alignment. If you don’t wear your braces or aligners as directed, not much is going to happen, and certainly not on schedule.

Give our Sherman office a call, and we can discuss your goals for creating your very best smile. Once we’ve decided on a treatment plan, Dr. Clark Knowlton can give you a fairly good estimate as to how long your particular treatment will take. And, when you get to share that beautiful, healthy smile, the time you’ve spent achieving it will be well worth it!

The Importance of Facial Protection

Americans from all walks of life should mark April as National Facial Protection Month on their calendars. The American Association of Pediatric Dentistry, Academy for Sports Dentistry, American Academy of Pediatric Dentistry, and American Association of Oral and Maxillofacial Surgeons have combined forces to sponsor this annual campaign, which aims to educate and remind us of the importance of protecting our face and teeth against impacts and injuries.

Wearing a helmet can save your life and prevent devastating physical damage in a variety of situations, from playing football to riding a bicycle. According to the American Association of Oral and Maxillofacial Surgeons, helmets reduce the risk of various head injuries by as much as 85 percent. Whether helmet laws apply in your area or not, Dr. Clark Knowlton and our team at Knowlton Family Orthodontics, want you to make sure you and your loved ones wear helmets with the appropriate safety ratings for specific activities. (A sticker on or inside the helmet will usually indicate this rating.) Helmets can also help save your teeth if they come with an attached faceguard, an essential addition for football players and others involved in contact sports.

Preventing Dental Injuries

A mouthguard can protect you against a variety of dental injuries, such as cracked, broken, or knocked-out teeth. The American Dental Association states that mouthguards play an essential role in preventing up to 200,000 dental injuries each year, and many states mandate their use for sports activities such as football and hockey. The Academy for Sports Dentistry warns, however, that these mouthguards must be custom-fitted as precisely as possible to prove effective. Have a professional-quality mouthguard molded and fitted by our team at Knowlton Family Orthodontics, for better protection than a generic store-bought or “boil-and-bite” variety can offer. These cheaper versions tend to wear out quickly, interfere with proper breathing, and provide uneven degrees of cushion against impacts. Always have a fresh mouthguard fitted for each new sports season.

Choose the right combination of helmet, faceguard, and mouthguard to protect your teeth and face this April, and tell your friends to do the same! To learn more about mouthguards, or to schedule an appointment with Dr. Clark Knowlton, please give us a call at our convenient Sherman office!

It’s only natural when you’re waiting for something good—you count down the weeks until your birthday, or until the summer holidays, or until your braces come off. But while your birthday and your vacation won’t come any faster no matter what you do, you can help determine just how fast that happy day arrives when you’re done with your orthodontic treatment.

When you first got your appliance, Dr. Clark Knowlton gave you an estimate of how long your treatment would take. Of course, that estimate is based on everything going according to plan. What are some detours that can delay your progress?

• Missing Appointments

With every adjustment at our Sherman office, you are moving closer to the ideal positioning for your teeth. If you miss or postpone appointments, it can take just that much longer to complete your orthodontic work.

• Eating the Wrong Foods

You have a list of foods that are on the do-not-eat list. Hard, chewy, sticky bites are famous braces-breakers, but don’t forget that size also matters! Biting into a juicy apple or a buttery ear of corn can damage your brackets and wires just as much as chewy candy can. Be sure everything you eat is size-appropriate and braces-friendly. Obviously, damaged braces can’t straighten teeth as effectively as intact appliances!

• Sticking with Bad Habits

Pressure from nail biting, chewing pencils, or crunching on ice can cause chips and cracks in your teeth, so just think what they can do to your appliance. Ask us for tips for quitting if you’ve picked up any of these habits. We know habits can be hard to break, but they are harder on your teeth and braces. If you bend or break a wire or loosen a bracket, you might be delaying your orthodontic progress. Which leads us to . . .

• Ignoring Appliance Accidents

Accidents happen. Brackets or metal bands can become loose; wires can bend or break; spacers can fall out. If you notice a problem, call our office right away. Sometimes a minor problem can wait, but if your appliance is damaged, your teeth aren’t moving into position on schedule.

• Blowing Off Bands

If you have bands to help correct your bite, be sure that you wear them as directed. If you skip hours or days of band-wear, you are adding to the time it will take to correct the bite problems they are meant to fix. And don’t double band to speed things up—that might put too much pressure on your teeth. Just follow our recommendations, and you will be done with those bands—and those braces—as soon as possible.

But, wait! We promised you one sure way to keep your orthodontic progress on track:

• Follow Your Treatment Plan

If you keep your appointments, take care of your braces, call us promptly if they are damaged, and wear your appliance as directed, you will be doing your part to keep your treatment on track. And that happy day when your braces come off? It will arrive right on schedule!

Dental floss is similar to a lot of products that depend mainly on the consumer’s preference. Fact is, floss comes in a wide variety of flavors, coatings, and other variations, but all types of floss essentially do the same thing. After all, that is what is most important: that the dental floss you buy is functional—cleaning the areas in between your teeth. If you want to know what the best dental floss is, the answer is the kind that enables you to successfully and regularly clean those areas. So to help you find the right type of floss for you, here are some options.

Flavored Dental Floss

Many people that floss prefer a flavored dental floss because it freshens their breath even more than unscented floss. The latter can also take on the smells associated with bacteria in your mouth. And we all know how bad that can be. So, if flavored dental floss is what you prefer, and it allows you to floss your teeth regularly, then it is automatically best for your mouth.

Flossers

There are also products on the market called flossers, which usually consist of a plastic instrument with strung floss and a pick on the opposite end. This option can be both effective at cleaning the areas in between your teeth and scraping off plaque. These flossers also come flavored in mint and various other varieties.

Gentle Dental Floss

Some people find that typical dental floss is too harsh on their gums. For that reason some companies make floss with soft coatings that are less abrasive on the gums. For the most part these types of floss are just as effective as regular floss, and for those people that require a more sensitive approach to flossing, especially when just starting out, this is the best option.

Of the aforementioned options, it is difficult to name an absolute best type of floss. However, Dr. Clark Knowlton and our team say that the type of floss that works best for you, giving you the greatest chance of succeeding at regular flossing, is the best. For more information on floss, contact our Sherman office.

Millions of people, around Sherman and beyond, wear green on St. Patrick’s Day so they can show their spirit for the holiday and avoid getting pinched. While it may be easy for you to throw on a green shirt, sport a St. Patrick’s Day button, or wear a pair of emerald-hued shoes, if you’re an avid St. Patty’s Day enthusiast you may want to try something different this year. Dr. Clark Knowlton thought of a few ideas that will help you take your holiday spirit to the next level:

Visit Chicago’s Green River

If you happen to be near the Windy City during St. Patrick’s Day or you’re thinking of planning a trip, don’t miss out on going downtown to watch the large-scale celebration that kicks off when the city dyes the river bright green. According to the Chicago Sun-Times, Chicago has been celebrating the holiday with this tradition for more than 50 years, with tens of thousands of people gathering annually to witness the mysterious dying process and the stunning result.

Don Green Face Paint

Just like an avid sports fan on game day, you can use green face paints to showcase your enthusiasm for this holiday. Avoid breakouts or allergic reactions by only using paints that are specifically meant to be applied to the skin. A little bit of face paint can cover a large area, so feel free to get creative and decorate the whole family on St. Patrick’s Day.

Eat Green All Day

Not a fan of green eggs and ham? With the increasing popularity of green smoothies, there’s no better time to get in on this health craze. To create a green smoothie without the aid of food coloring, you can simply blend a generous amount of a leafy green vegetable, such as spinach or kale, with the ingredients that you would typically use to make a smoothie, like fruit, ice, milk, or juice. Keep the trend going throughout the day by using those same vegetables to create a green soup, egg salad, or a batch of bright green pastries. As an added bonus, you’ll get a healthy dose of vitamins without changing the taste of most of these foods.

If your old holiday routine has gotten stale, leave your green T-shirt in the drawer and try one or all of these tips. Don’t be surprised if you have so much fun that you decide to start a new, annual St. Patrick’s Day tradition! Have a happy St. Paddy’s day from Knowlton Family Orthodontics,!

“Yes,” you’re thinking, “I shouldn’t be chewing sugary, sticky gum while I’m wearing my braces.” Or perhaps, “I should check with my orthodontist to see if this sugar-free gum is safe for my braces.” And these are both great thoughts—but today, we’re thinking about gums of a different sort!

While you’ve been taking care of your teeth with regular brushing and flossing, you’ve also been taking care of your gums. And now that you’re wearing braces, your gums need a bit of special attention to keep them their healthiest.

We tend to think of gum disease as an adult problem. In fact, periodontitis, or serious gum disease, is one of the most common chronic infections in the adult population. But young gums need care, too! Gingivitis, a milder form of gum disease, is unfortunately a common problem for both children and adults.

Gingivitis is an inflammation of the gums caused by the build-up of plaque and tartar. When plaque builds up, it irritates delicate gum tissue. And while gingivitis is not as serious as periodontitis, the symptoms caused by this disease are nothing to smile about:

• Redness
• Tenderness and soreness
• Swelling
• Bleeding
• Bad Breath

If you’re already feeling a little tender or swollen after an adjustment, the added discomfort caused by gingivitis is the last thing you want. But even worse, neglected gingivitis can lead to more serious infections of gum and even bone tissue. Luckily, gingivitis is both preventable and treatable with proper dental care.

So, how to protect your gums? We have some suggestions.

• Brushing Better with Braces

It can be hard to brush around your brackets and wires, but keeping these areas free of food particles and plaque makes for healthy gums—and fewer cavities! There are specially designed manual toothbrushes made for braces wearers, and tiny interproximal brushes that can reach tight spaces. Or, perhaps an electric toothbrush will do a better job for you. Just be sure to brush after each meal for the most complete removal of bacteria and plaque.

• Learn New Flossing Techniques

You might wonder how on earth you’ll get in between your teeth with your wires and brackets in the way. We have the answers! We know the best techniques for flossing your specific braces, and we’ll recommend specially designed flossing tools to make the job easier. Water flossers can also be a great help for cleaning in tight spots. Be sure to make flossing part of your daily routine—you’ll be able to remove plaque from places brushing just can’t reach.

• Rinsing? Recommended.

Talk to Dr. Clark Knowlton about the best dental rinses for reducing plaque and tartar, or how gargling can help prevent irritation. And drink water! Water helps wash away plaque and bacteria, and is a great way to rinse teeth and braces if you absolutely can’t brush after eating.

• Keep up with Professional Cleanings

Be sure to keep up with your regular dental exams and cleanings. Your dentist or hygienist will be able to remove any plaque or tartar build up that home brushing can’t handle.

We want your time in braces to be as healthy—and comfortable—as possible. If you have any gum discomfort, swelling, or sensitivity, give our Sherman office a call. With prompt action, gingivitis can be treated, and with careful attention to your cleaning routine, gingivitis can be prevented altogether. Something to think about!

You’re in the band and you’re getting braces. Now what? If you are a member of the string or percussion sections, you can go back to rehearsal. You’re good to go. When your talents have seated you in the reed or brass sections, though, a little adjustment might be necessary to keep your instrument and your braces working in harmony.

If you play a wind instrument, you know the term embouchure—the way you position and use your lips, tongue, facial muscles, and teeth to produce the sound you want. Depending on the instrument you play, you might be completely unaffected when you get your braces, or you might need to develop a more comfortable embouchure to accommodate them.

Wires and Woodwinds?

If you play a wind instrument such as the flute or piccolo, you might find that your normal lip positioning or blowing angle is affected by your braces, but usually the adjustment time is fairly short. Reed instruments such as the saxophone, clarinet, oboe, and bassoon are considered some of the easiest to adjust to when you have braces, but even though the single and double reed mouthpieces don’t require as much pressure as brass instruments, there can still be an adjustment period. One thing you should look out for is more condensation in your mouthpiece or instrument—be sure to keep your instrument clean to keep your sound pure.

Brackets and Brass?

Brass instruments require mouthpiece pressure. This leaves your lips pressed between the mouthpiece and your braces. For this reason, many brass players have a more challenging adjustment when wearing braces. Smaller mouthpieces (trumpet, French horn) usually require more pressure than larger ones (tuba, trombone). It’s important to learn how to use technique to avoid cuts, irritation, and other injuries caused by the pressure of your braces against your lips. Learning to play with less pressure on the lips and more air control and breath support will help you to recover your tone and range of notes while protecting your lips and mouth.

How Can We Help?

Let Dr. Clark Knowlton know if you play, or plan to play, a wind instrument. We might be able to offer some suggestions. For regular metal and ceramic braces, some musicians find extra wax is helpful in preventing lip and cheek injuries. There are brace guards available that can be applied over the braces to protect your lips and mouth if wax doesn’t do the trick.

There are also alternatives to regular bracket-and-wire braces, depending on your orthodontic needs, cost factors, and length of treatment. Invisalign® devices fit smoothly over your teeth and can even be removed when it is time to practice or play, as long as you get the necessary hours of wear in per day. In some cases, lingual braces, where the brackets and wires are placed behind the teeth, might be the best choice for you.

Finally, don’t forget to talk to your music instructor. Don’t be dismayed if you find the quality of your playing has been affected. Your teacher might have valuable suggestions for adjusting your embouchure, playing with less pressure on the lips, and developing better air and breath support. You might need to shorten your practice time at first, and there might be another period of adjustment after your braces come off.

Above all, take care of yourself! If something is poking your lip or cheek, call our Sherman office immediately before it causes injury. It might be difficult at first, but finding an embouchure that works for your comfort and technique is worth it. And remember, these temporary fine-tunings will lead to a wonderful coda: skilled musicianship and a beautiful, healthy smile. Bravo!

You might be surprised to learn that Dr. Clark Knowlton and our team recommend an orthodontic appointment even before your child has had that last visit from the Tooth Fairy. In fact, orthodontic assessments at our Sherman office can be beneficial at many stages of your child’s life. Let’s look at some of the reasons why.

The Right Spaces

There’s a reason why we recommend that every child see an orthodontist by the age of seven. If there’s room enough in your child’s mouth to accommodate all the permanent teeth that will be arriving soon, you’re good to go. But if it looks like there won’t be enough space for those adult teeth, there are solutions we can offer to make the transition from baby teeth to adult teeth a smoother one.

• If your child’s mouth is small, the permanent teeth might have too little room to fit in when they arrive. We may recommend gently enlarging the upper dental arch with the use of a palatal expander. This device will provide room for the adult teeth, and could potentially shorten second phase treatment time.
• Too much space can also be a problem. If a child loses a baby tooth too soon, too much space between the remaining teeth can cause them to shift out of position, leaving the wrong spot open for the adult tooth to come in. We might recommend a space maintainer so that there is no shifting of the teeth, and there is room for the adult tooth to erupt in its proper spot.
• If there is a bite problem, early treatment can prevent more serious problems down the road.

If no treatment is necessary immediately, we can monitor the development of your child’s teeth and bite during periodic visits.

(Stay in) The Right Places

Once your child has achieved that perfect smile, it’s time to maintain it. Teeth actually move and shift throughout our lives, whether we have had orthodontic treatment or not. But with orthodontic treatment, the bone tissue and ligaments around the teeth remodel over time to hold the teeth in their new and improved positions. That’s why it’s often important to wear a retainer constantly for several months after the braces come off, as bone and ligament become a firm, strong anchor for the newly aligned teeth and bite.

But there’s no one expiration date on retainers! Worn nightly as needed, they help teeth stay securely in their new positions for a lifetime of beautiful smiles.

Healthy Smiles Mean Happy Faces

If you think your child is ready for any phase of orthodontic work, give us a call. We will be happy to make sure there is ample room for permanent teeth to erupt in their proper spots even during the baby teeth years. If braces are indicated at a later date, we will analyze any potential alignment and bite problems and present all of your treatment options. Finally, after the orthodontic work is completed, we want to make sure your child knows the best way to maintain that beautiful smile with conscientious retainer wear.

If you have any concerns about your child’s teeth or bite, even before the permanent teeth arrive, give our Sherman office a call. Early treatment can often prevent future problems and might even lead to faster orthodontic results. At each stage of your child’s growth, we are here to provide your best options for healthy, happy smiles.

Valentine’s Day is best known as a celebration of love in all its forms. Pink hearts, red roses, and cute greeting cards adorn every surface you see. What many people don’t realize is that the modern Valentine’s Day celebration arose from a religious holiday.

St. Valentine’s Day was originally celebrated as a religious feast day in honor of early Christian martyrs. Three martyrs named Valentine were honored: a priest in Rome, the persecuted bishop of Interamna (a town in central Italy), and a saint martyred in Africa. This saint’s day was celebrated throughout Christendom, although it was removed from the Roman Catholic Calendar of Saints in 1969.

The origin of Valentine’s Day as a holiday for lovers began with Geoffrey Chaucer in his 1382 poem “Parlement of Foules.” Chaucer wrote, “For this was on Saint Valentine’s Day, when every bird cometh there to choose his mate,” and the modern romantic holiday was born. William Shakespeare and other writers mentioned Valentine’s Day as a day of love.

Valentine’s Day as we know it came about in the early 19th century. In Victorian England, printers began manufacturing small numbers of cards with romantic verses, lace, ribbons, and other frills. Anonymous Valentine’s Day card were a popular way for young lovers to exchange romantic sentiments in an otherwise prudish time. As the 19th century progressed, printers began mass manufacturing Valentine’s Day cards. People in the United States give an estimated 190 million valentines every year, and up to one billion if you count children exchanging cards at school! With the rise of the Internet, Valentine’s Day e-cards have become a popular mode of communication, with millions of e-cards sent each year.

The other items associated with Valentine’s Day include chocolate and flowers. The tradition of giving chocolates has been around for decades, and Richard Cadbury created the first box of Valentine’s Day chocolates nearly 150 years ago. Today, purchases of chocolate total over $1 billion in the United States alone, with 35 million heart-shaped boxes sold each year. Loved ones also exchange flowers, with red roses being associated with Aphrodite, the Greek goddess of love. On Valentine’s Day itself, florists sell nearly 200 million stems of roses.

Although many people dismiss Valentine’s Day as a commercialized “Hallmark holiday,” it is beloved to couples and romantics across the United States and other countries. The team at Knowlton Family Orthodontics, wants to remind all patients that no matter what your celebratory plans, February 14th can be a wonderful day to celebrate the loved ones in your life. Happy Valentine’s Day!

Even though it’s called a “permanent retainer,” your fixed retainer isn’t necessarily meant to last a lifetime. But with care, it should last just as long as you need it, keeping your teeth perfectly aligned after your orthodontic treatment is complete. Why is this retainer the one to choose for challenging alignments?

A fixed retainer is often used for teeth which were very crowded or had large gaps before treatment, especially along the bottom teeth, which tend to shift more. With a permanent retainer, a custom fitted wire is attached with a bonding adhesive to the back of each of the selected teeth. This design makes sure that the teeth can’t shift out of place while your bones and ligaments strengthen around them.

Occasionally, though, your permanent retainer isn’t quite as permanent as it should be. If you think your fixed retainer is becoming “unfixed,” what clues should you look for?

• Broken wire

A clearly broken wire can be obvious, or you might discover it when you notice pain or irritation caused by the end of a wire poking around your tongue or mouth.

• Loose bond

The orthodontic adhesive used to bond the wire to each tooth can come loose as the result of an accident, an unfortunately chewy treat, or simply with the passage of time.

• Shifting teeth

You might not notice anything wrong with your retainer, but what you do notice is that your once-straight teeth have started shifting back to their old positions. If you see any movement in your teeth, your retainer might need repair.

What should you do?

• Give our Sherman orthodontic office a call! It’s important to act promptly to prevent further retainer damage, oral discomfort, and tooth misalignment.
• Rinse with warm water if your mouth is irritated.
• If a wire is poking you, call us for advice on gently pushing it back into place.
• Orthodontic wax can protect your teeth and tissue from detached wires.
• If you have a clear retainer, wear it until you can come in. If you don’t have one, and you can’t see us immediately, ask if an over the counter moldable retainer is a good idea to help keep your teeth aligned in the meantime.

One benefit of a fixed retainer is that it’s almost invisible because it’s behind your teeth. But this hidden location can also make it difficult to notice potential problems. Fortunately, there are some proactive steps you can take to help your permanent retainer—and your bite—stay healthy:

• Avoid foods which are sticky, hard, or chewy. If a food can damage traditional braces, it can damage your retainer.
• Wear protective gear like mouthguards and helmets when you’re active—they protect more than just your retainer!
• Ask your dentist to examine your retainer adhesive’s staying power whenever you have a checkup.

If you notice a detached wire or loose adhesive or see your teeth shifting, give Dr. Clark Knowlton a call. It’s important to act promptly to fix a fixed retainer, because your teeth and bite alignment are in jeopardy when you delay. And always bring your retainer (or retainer pieces) with you in case we can repair it.

Permanent retainers don’t necessarily last forever. But whether your fixed retainer is going to be with you long-term, or whether you’re going to transition to a removable retainer in the future, let’s make sure your permanent retainer is just as “permanent” as it needs to be!

However you may feel about having to wear braces, choosing the color of your rubber bands is sure to bring a smile to your face. Whether you want to express your creativity, coordinate your braces with your outfits, or show some serious school spirit, decorating your mouth with colorful bands takes some of the stress and self-consciousness out of wearing braces. So what do your rubber band colors say about you? Look no further than our rubber band horoscope.

Red. You’re intense and forward thinking, and that you won’t back down no matter how big the challenge. Red is also the color of the heart, so red rubber bands indicate that you’re a caring, loving person.

Blue. Blue means you’re chill – as cool as a cucumber. You’re one cool customer, as the saying goes. You’re relaxed and calm, even when your mom says you can’t chew any gum or eat popcorn because of your braces.

Green. Look at a traffic light and green means go, right? So you’re the type of person who’s always on the move. Go, go, go! It also means you’re generous and kind. Green is the color of nature and spring, so it says you love Mother Earth. Perhaps you even recycle. Green is the color of good luck.

Orange. You’re daring and wild, flamboyant and fun. Orange may indicate you’re an artist or a drama student. It says you have a big personality and that you don’t care what other people think about you. However, orange is also the color of balance and energy. And being flamboyant and fun takes a lot of energy!

Purple. You’re the creative type, for sure. You beat to a different drummer and think outside the box. It says you're mysterious. Purple is the color of royalty, and when you wear your purple rubber bands you are royally cool.

Color Combinations

What if you can’t choose just one color? Well, you can decorate your teeth with alternating colors. You can choose the colors of your favorite sports team or holiday colors like red and green. If you’re still stumped as to what colors to choose, ask Dr. Clark Knowlton or a member of our team. We can let you in on all the trends our other patents are sporting at our Sherman office!

By and large, the human body is a marvel of symmetry. But, of course, no one is perfect. You might have noticed one ear is a bit higher than the other. That you wear a shoe a half-size bigger on your left foot. That one shirtsleeve always looks longer.

Or that your smile looks off-center. This dental asymmetry could be caused by a condition known as “midline misalignment,” and, unlike that left foot, you can do something about it!

The dividing line between our center teeth, upper and lower, is called the midline. If we draw an imaginary line down the middle of a face, from the forehead to the nose to the midpoint of the chin, that line should go right between the front teeth. When it doesn’t, because the teeth have shifted past the midpoint, it’s often due to a condition called midline misalignment.

This kind of misalignment, also known as a deviated midline, can have several causes:

• Baby teeth that are lost too early

Baby teeth do more than promote healthy eating and speech development. They also reserve space for permanent teeth. If a primary tooth is lost too early, permanent teeth might “drift” to fill the empty space, causing the midline to move as well.

• Thumb sucking that goes on too long

As a child gets older, and certainly when by the time permanent teeth start to arrive, aggressive thumb sucking can lead to numerous orthodontic problems, including a deviated midline, as the teeth shift in response to that continuous pressure.

• Missing adult teeth

When you lose a tooth through decay or trauma, or when an adult tooth simply never develops, the remaining teeth can shift over to fill the open spot.

• Spacing issues

Crowded teeth, teeth with significant gaps between them, very large teeth, very small teeth—all of these issues can affect spacing and midline alignment.

• Crossbite

A crossbite is a kind of malocclusion, or bite problem. When you have a crossbite, the teeth don’t fit together properly, with upper teeth fitting inside lower teeth, instead of aligning on the outside where they belong. A deviated midline can indicate a posterior crossbite, where the top back teeth slant inwards or fit inside the bottom back teeth.

A tiny bit of midline shift one way or the other might be nothing to worry about, but if one front tooth is literally the center of attention, or if your teeth are noticeably out of alignment, it’s a good idea to talk to our Sherman orthodontic team.

Because there are several potential causes for midline misalignment, Dr. Clark Knowlton will carefully analyze your individual situation to determine where the problem lies: with the teeth, the bite, or, rarely, the jaw itself.

Dr. Clark Knowlton will also offer you your best dental treatment options. A shift of a few millimeters might be treated with clear aligners or traditional braces. A crossbite could require braces or aligners coupled with elastics (rubber bands) to bring your bite into alignment. A palatal expander can help correct a serious crossbite.

Why visit Knowlton Family Orthodontics, because of a little asymmetry? Because a deviated midline is more than a cosmetic concern. If you have a malocclusion to begin with, or if your misalignment leads to changes in chewing habits, which cause new bite problems, you might be facing jaw pain, chipped and cracked teeth, headaches, and all the other unpleasant consequences of malocclusion.

By and large, perfect symmetry in life is unattainable. But if you want a smile that is well-balanced and healthy, talk to us about all the treatments available to make sure your smile—and not a single tooth—is the center of attention.

Happy New Year to all of our wonderful patients!

We wanted to get the new year started by announcing some updates we have in our office as well as highlighting events that are coming up this year.

Let’s start with some changes. Prospective patients can easily schedule an appointment at any time by using the appointment concierge portal located on our website. All you have to do is fill-out the patient forms online to ensure your initial complimentary consultation runs smoothly. Existing patients should already have access to the patient portal on our website. In the portal, you can easily view photos, schedule appointments, make payments, and redeem patient rewards for some great gift cards!

While we offer online scheduling, we also offer virtual consultations and provide one on one support for those who call to schedule their complimentary consultation. Our treatment coordinator, Kori, is an incredible resource as she and Dr. Knowlton want to ensure you achieve the beautiful smile you want and deserve.

Starting this year, we are introducing an incredible patient reward system where our patients can earn gift cards to some of their favorite restaurants and entertainment. Earn points by keeping teeth fresh and clean, no broken braces, being a rubber band rock star, and supporting us on Google, Facebook, and Instagram. Additionally, we are introducing a fun monthly challenge we like to call Friday Night Deliveries. Guess how many items are in our jar each month, and the winner gets an awesome party game and pizza delivery to share with their family or friends. We love to give back to our patients and we hope that you enjoy these promotions!

We know a lot of our patients are setting New Year oral health goals right now and we just want to let you know that we are here to support you with anything you may need. There has never been a better time for customized treatment that meets your needs and fits within your lifestyle and budget. We continue to use the most cutting-edge technology and equipment to provide you with a variety of options to achieve an incredible result. Whether it be classic braces with fun colors, more discreet clear ceramic braces, or clear aligner therapy, the options for alignment and bite correction are there for you. Starting at age 7, you can come in for a complimentary consultation to see if this is your year for a smile transformation! We are open Monday through Friday from 8am to 5pm!

Thank you for an amazing 2021, let's make 2022 even better!

Many patients underestimate the importance of wearing their retainers after their braces come off, but it is one of the most critical post care practices to keep your teeth in alignment. Why spend all that time, energy, and money to straighten your teeth when you don't plan to keep them straightened after treatment?

What is a retainer?

As the name implies, a retainer keeps teeth from moving back to the positions in which they started before treatment was administered; they "retain" your smile and bite. There are many different types of retainers—some are removable and some are permanent. Some retainers are made of plastic and metal (known as Hawley retainers) and others are all plastic or all metal. Some retainers can even be bonded to the back of your teeth!

How long do I need to wear it?

If you've been given a removable retainer by Dr. Clark Knowlton, you may be wondering how long you need to wear it. It takes time for the tissues and bones around your teeth to reorganize and set into place after braces treatment.

The amount of time you’ll need to wear your retainer depends on your unique situation, but typically, retainers should be worn at least as long as the time you spent in braces. You might need to wear them full-time for a while, and then transition to wearing them only at night. Dr. Clark Knowlton will have a treatment plan especially for you, and if you stick to it, you'll always have a straight smile.

Nothing is forever (at least without retainers!)

Research has shown that there is no “permanent” position for your teeth to remain in. In fact, some studies say upward of 70% of patients will see a change to their bite and tooth alignment as they get older. This applies to people who have had orthodontic treatment and those who have not. Of course, some people's teeth never seem to shift—you can consider them the lucky ones, as most people's teeth do.

And this is precisely where retainers come in. The only way to ensure your teeth stay in alignment long-term is by wearing your retainers. If you have any questions about retainers or your treatment plan, please ask any member of our Sherman staff.

The weather out there might be frightful for most of us, but not for you! You’ve been waiting all year for a fresh coat of powder and all the outdoor sporting activities winter brings. But before you grab those ski poles, strap into that snowboard, lace up those skates, or dust off that sled, be sure to remember one more essential piece of gear—your mouthguard!

Mouthguards aren’t just for contact sports. While all that lovely new snow looks like powder, it doesn’t feel like it when you land hard. If there’s a chance of a fall or an impact in any sport, there’s a chance you can suffer dental injuries.

Falls or collisions can result in chipped, broken, or dislodged teeth. Your mouthguard will help protect your smile from these accidents, and also works to protect you from biting your tongue and mouth in case of impact. It can even reduce the chance of jaw injuries.

Luckily, finding a mouthguard that works for you is even easier than finding the perfect board or the best wax for your skis. You have several options to choose from:

• Ready-made appliances. These are available in drugstores and sporting goods stores, but come in pre-formed sizes, so they might not provide the best fit.
• The “boil-and-bite” model. This mouthguard form is placed in hot water. You then bite down while it is pliable to shape it to your mouth and teeth.
• Custom mouthguards. These guards can be fabricated just for you. They are molded to fit your individual mouth and teeth, so provide a better fit and better protection. They are also usually more durable and more comfortable. If you wear braces, a custom mouthguard can be your best option for preventing an injury to your mouth and your braces. Talk to Dr. Clark Knowlton if you are interested in a guard fitted specifically for you.

When you visit our Sherman office, let’s discuss all the best ways to keep your teeth and mouth protected before you set out for winter sports. And then when you’re ready to go? Let it snow!

It’s no secret that New Year’s Eve is one of the most widely celebrated holidays in the world. Dr. Clark Knowlton and our team love it too. It’s a fresh start, another year of surviving the crazy world we live in, a time to refocus on the things we want for ourselves, a celebration with those we love … the list goes on.

Dozens of countries welcome the New Year with over-the-top parties and celebrations. Because it’s a public holiday, many offices, businesses, and schools close for the day. As you think about your plans for this holiday, here are some fun facts about New Year’s that might surprise you!

Can you guess what the most common New Year’s resolutions are? You may already have one or two of these on your own personal list. The top five New Year’s resolutions are: to quit smoking, get a new job, lose weight, increase personal savings, and return to school. Just remember that coming up with a concrete plan to reach your goals is the surest way to achieve your resolutions!

About one million people brave the cold to watch the New Year’s Eve ball drop in New York City’s Times Square in person. Yes, that’s one million! This event is one of the most iconic celebrations in the world. People travel from all over just to experience it, but you can watch from the warmth and comfort of your living room.

If you’re not a fan of cabbage, collard greens, black-eyed peas, or ham hocks, you might want to revise your tastes. All these foods are all regarded as lucky fare on New Year’s Day. Unless you’re allergic, of course!

For many people in Mexico and Latin America, eating 12 grapes at midnight is a tradition that brings good luck in the 12 coming months. Most people even make a wish per grape!

Whether you’re celebrating in Sherman or traveling elsewhere to observe the holiday, New Year’s Eve is a time to enjoy the company of your friends and family. Don’t forget to send warm wishes to your loved ones, and snag a midnight kiss with that special someone if you can!

The dental procedures that focus on the correction of alignment and bite are known as orthodontic care. With the aid of braces, aligners, retainers, brackets, and similar appliances, orthodontic treatment can correct oral disorders such as protruding teeth, crowding, difficulty biting or chewing, and speech issues. Seeking orthodontic treatment at Knowlton Family Orthodontics, can drastically improve your oral appearance, comfort, and health, while also encouraging proper oral hygiene and enhanced self-esteem. Both growing children and adults with oral alignment issues can benefit greatly from completing customized orthodontic treatment with Dr. Clark Knowlton.

Due to the uniqueness of each mouth and the severity of each malocclusion disorder, there is no one set timeframe for orthodontic treatment. The length of your treatment is determined by many factors, including the severity of your alignment issue, your age, the health of your teeth, and the specific orthodontic procedure you need to undergo. Nevertheless, typical treatment usually takes between 12 and 36 months.

Avoiding alignment issues

While some alignment issues are brought on by unavoidable matters such as accidents, genetics, and physical disorders, some issues arise out of certain actions you should not be doing. Finger sucking and improper oral hygiene are the two most common self-inflicted reasons for alignment issues. Constant finger sucking can alter the pattern in which your teeth grow, which in turn may cause bite issues. Improper oral hygiene such as infrequent dental visits and improper brushing and flossing can lead to decay and loss of teeth, which will interfere with the bite in your mouth.

To avoid advanced alignment issues, it is important to establish a relationship with a quality dentist when you’re young and seek orthodontic treatment at the first sign of alignment problems to encourage healthy and straight teeth for a lifetime.

For more information about orthodontic treatment, or to schedule a consultation with Dr. Clark Knowlton, please give us a call at our convenient Sherman office!

It’s normal to be a little self-conscious when you first get your braces. Even though you really want to straighten any crooked teeth, or correct a bad bite, you might still be a bit hesitant about sharing your new orthodontic work with the world. What are some ways to get over those under-confident feelings?

• Keep It Clean

Make sure you brush after every meal to reduce the chance of food particles and plaque sticking to your enamel and brackets. Brushing and flossing is particularly important now, not only to prevent cavities, but because nobody wants to see food stuck in your braces—especially you! If you absolutely can’t brush, rinse with water right after eating.

And carry a small bag filled with all the essentials for gleaming braces: a travel toothbrush, floss, a small tube of toothpaste, an interproximal brush, and a handy mirror to make sure you’re good to go. When you know your teeth and braces are their cleanest, you can’t help but feel more confident.

• Express Yourself

Braces are no longer the one-style-fits-all appliances of the past. Traditional metal braces at our Sherman office are more compact, and now come in different colors and shapes. Metal brackets are typical, but ceramic brackets are an option for an almost unnoticeable look. And don’t forget to accessorize!

You can choose from a rainbow of band colors to make a fashion statement that’s uniquely you. Show your spirit with school colors, celebrate the holidays with festive tones, or choose shades that do wonders for your coloring. Whether you go for bold contrast, mono-chromatic subtlety, or “just because I’m in the mood” quirky combinations, let your braces showcase your style. And remember—you can change that style with every adjustment!

• Smile with Confidence

Nothing looks better on you than a confident smile. If you’re a little unsure, practice! Some mirror or selfie time will get you used to seeing yourself in braces. Break them in with friends and family before you go public. Remember that any difficulties with talking or eating should only last a little while.

Above all, you’re still your unique and valued self. You can wear braces and be a good friend, a student, an athlete, a lovestruck Juliet on the theater balcony, a star at your after-school job. Don’t let wearing braces hold you back from the activities you love.  Act like your old self, and you’ll soon feel like your old self!

It’s normal to feel a little self-conscious when you first get your braces. But when you care for yourself and your braces, good things happen! If you’re having difficulty adjusting, talk to Dr. Clark Knowlton. We want to help make sure your journey to a beautiful, healthy smile is as rewarding and as positive as it can be.

Why do you chew gum? Perhaps because it’s a habit that comes with some healthy benefits. Chewing a stick or two reduces the urge to snack between meals. It’s a substitute for behaviors like nail biting that you’d like to change. It might even give you fresher breath after those tuna sandwiches in the cafeteria.

And, as it happens, chewing sugarless gum actually offers a few dental benefits as well! The act of chewing increases saliva production. Saliva washes away food particles, neutralizes acids in the mouth that can damage enamel, and even bathes the teeth in essential minerals that help strengthen weakened enamel. We’re talking about sugar-free gum here, of course, because regular gum will just bathe your teeth in sugar—no one’s idea of a dental benefit!

So why not open that pack and enjoy? Because, despite the many positive reasons you can think of for chewing gum, sometimes gum can have a negative impact on your braces.

• A Sticky Situation

Keeping your braces clean can be a bit of a challenge. That’s why you have special toothbrushes, flosses, and interproximal brushes to get rid of food particles that stick around after you eat. And, while any food can get caught in your braces, sugared gum, because it is so sticky, can stick to appliances much more easily and much more thoroughly than even sugar-free gum. You might be able to remove gum residue with regular brushing and flossing, but, worst case scenario, you might be looking at gum firmly stuck in the brackets or between the brackets and wires.

• Gumming Up the Works

Chewing gum can also affect your treatment time if the action of chewing causes your arch wire to bend. When your wire isn’t providing the proper shape or the right amount of tension, your teeth won’t get to where they need to be as quickly and efficiently. No piece of gum is worth discovering at your next appointment that you haven’t made any progress for weeks due to a damaged wire. And since chewing gum can also lead to loose brackets and bands, you might wonder if this sticky habit is ever worth the trouble it can cause.

• Something to Chew Over

Before you decide, talk to Dr. Clark Knowlton! Chewing sugarless gum increases saliva production, which can help wash away food particles from your mouth and your braces. As an added benefit, the action of chewing for a few minutes after an appointment has been shown to reduce the discomfort of an adjustment. Because today’s braces are stronger and more durable, and sugarless gum much less likely to stick to them, we can let you know if chewing gum might be acceptable or even desirable depending on your specific treatment plan and your appliance.

Talk to us at your next appointment at our Sherman office about gum chewing, and we’ll give you the very best recommendations for keeping your teeth healthy, your braces clean, your appliance intact, and your treatment plan on track. Even if gum needs to be off the menu for a while, what you’ll get in return—the best and fastest path to your beautiful smile—will be well worth it!

It’s the season of giving and the start of a new year. What better time to gift yourself with the orthodontic treatment you’ve always wanted?

Orthodontic treatment isn’t just for children and teenagers. In fact, adults make up a significant—and growing—number of new patients looking forward to beautifully aligned teeth and a healthy bite.

And because today’s orthodontic treatments are more comfortable, take less time, and are less visible than ever before, they are a great fit for your busy adult life. You also have many more options from which to choose, including:

• Traditional Braces

Traditional braces are a proven method of aligning your teeth and bite, can be more economical than other options, and are often most effective in treating complicated orthodontic issues.

If traditional braces are best for your needs, you’ll be happy to hear that today’s braces are better than ever. Brackets are smaller. Innovative wire technology makes the orthodontic process even more efficient. And with self-ligating brackets, there’s no need for those colorful little bands around each bracket to hold those wires.

• Ceramic Braces

If you’re looking for something more inconspicuous, consider ceramic brackets. These ceramic or porcelain brackets are color-matched to your teeth, and, especially used with clear bands and lighter wires, create a less visible profile.

• Clear Aligners

Clear aligners can treat many orthodontic conditions, including some complicated malocclusions. Your orthodontist can let you know if these removable, comfortable, and subtle aligners will work for you.

Adult orthodontics can give you the confident smile you’ve always wanted, which is reason enough to seek orthodontic treatment at our Sherman office. And perfectly aligned teeth and a healthy bite have dental benefits as well as mental benefits!

• Reduce the Risk of Cavities and Gum Disease

Crooked and overlapping teeth are harder to keep clean. Getting in between the teeth to remove all the food particles and plaque can be difficult even with the most careful brushing and flossing. Built up plaque increases your risk of cavities, irritates delicate gum tissue, and causes gum disease.

• Prevent Tooth and Jaw Injuries

If your jaws have never fit together properly, you’ve probably experienced at least some of the consequences of a malocclusion, or bad bite. Worn and cracked teeth, damaged fillings and crowns, jaw pain, headaches, difficulty breathing—all of these problems can be caused by a misaligned bite.

If you’ve always wanted orthodontic treatment, talk to Dr. Clark Knowlton to discover the possibilities. A more confident appearance, reduced risk of cavities and gum disease, a comfortable, pain-free bite—there’s no better gift to give yourself than a lifetime of healthy smiles!